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HomeMy WebLinkAbout2624 EL CAMINO REAL; F; CB930282; PermitB U .1 L P .1 N. G P E R M I T Permit No: CB930282 04/29/93 09 42 Project No A9300433 Page 1 of4. 1 - Development No Job Address 2624 EL CAMINO REAL Suite F Permit -Ty-p COMMERCIAL TENANT . IMPROVEMENT. ; Parcel No Lot# 21.16 (4/2/93 0001 01 02 - &. . 4 . . r_pr.wT . 177 Valuation: . 19,.500( -. - i-. .- - •1\f(.. . .L...J,j. Construction Type VN Occupancy Group B-2 Reference# - Status ISSUED Description:1800.SF ELIMNATE SUITE'4E.MAKE 4.' -.• Applied: 03/30/93 F LARGER CREATE BIRD STORE Ap/tssue 04/29/93 Entered By: DC -Appl/Ownr' : CALIF.BILDING IMPROVEMENTS, 619 941-3133. -• P OBOX 210. CARLSBAD, CA 9200-- Fees Required ---* s Credit --- 3 -.0 4 4- .. • Adjustments / 00 To 3. r4 • 00 Total Fees: --73 4. 0' -a-To P 248.00: Balan e e 133 00 ding Perm't 0.7.00 Str.ong Motion Fee 4,.,00, BUI-LbING TOTAL_ r 346.,00 Enter "Y" for Elect ic issu F/'\ 10.00 Y *' ELECTRICAL ToTAL.. INCORPORATED . 20.00 Enter 'Y for Mechanic i¼ __ - 151952 00 Yk * MECHANICAL TOTAL . 4 . •, 15.00 4 4. A 4 .. -... -4 • . . - 4, . . p. •. -. -I * 4. .4- . 2 - , . 4, . . . . • CITY OF CARLSBAD • : . - - 2075 Las PalmasDr., Carlsbad,,CA920O9 (619) 4384161- 2, ., _ • -. - . 4*4 .2'' - :• ., - 44 4 '. - 4 - - •. - . .. 4' 4'. -'4 1---7 PE&LkAll City of Carlsbad Building Department 2075 Las Patinas Dr., Carlsbad, CA 92009 (619) 438-1161 S I. PERMIT TYPE A - U Commercial U New Building Fenanr Improvement B - 0 Industrial 0 New Building 0 Tenant improvement C - 0 Residential 0 Apartment 0 Condo 0 Single Family Dwelling 0 Addition/Alteration O Duplex 0 Demolition 0 Relocation 0 Mobile Home 0 Electrical 0 Plumbing Mechanical 0 Pool 0 Spa 0 Retaining Wall 0 Solar 0 Other__________ 2. PROJECT INFORMATION PLAN CHECK NO. — EST. VAL g'5pO0 PLAN CK DEPOSIT 7...C'( 8. VALID. BY V'-'. OP DATE 193 03/30/93 0001 01 02 C-PR1IT 24800 FOR OFFICE USE ONLY N eadb( 0. CHECK CHECK BEWW IF SUBMITTED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report 0 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK ç .4 € / C SQ. Fr. ,gô 0 # OF STORIES / pp 19 ç.ó fL L .. IZSS.1 E.flJi III UJIICICIIL 110111 dIIdIJL) NAME 4i/1i'? HIvw- ADDRESS ZIZI Vsa cii(—f i1 STATE ZIP CODE DAY TELEPHONE NAME <3i-5 ADDRESS - -- - CITY STATE ZIP CODE DAY TELEPHONE PROPERlY OWNER M' /d ADDRESS 2 57 7 n'zirn NAME /7 i'7J# CITY 9Zr1th'Ld STATE /i- ZIP CODE DAY TELEPHONE /g 726 -/9 (X)NTRAC'IDR NAME ç4JC y1zII4DDRESS CITY STATE (4- ZIP CODE 9 -'r DAY TELEPHONE -2/- STATE UC. #$//9'L' UCENSE CLASS CITY BUSINESS UC. # DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # WORKERS WMPENSATIUN - Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to sell-insure issued by the Director 01 Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, lab. Q. INSURANCE COMPANY POUCY NO. EXPIRATION DATE I, as owner of the property 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.). 1, 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]). SIGNATURE 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? DYES 0 N Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES ONO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET' OR IS MEETING ThE REQUIREMENTS OF lifE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DIS'IllICf. WNSTRUCILON LENDING AGENCY I hereby aitirm that there is a construction lending agency [or the performance 01 the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS APPLICANT CERTIFICA11ON I certify that I have read the application and state that the above intormation is correct. I agree to comply with all City ordinances 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 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL IJABllfl1ES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF 11115 PERMIT. OSHA: An OSHA permit is required for excavations over 5,0', 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). PU 1'S SIGNATURE 1 DATE: '3/3 o/9 3 .. 11 /)JA 4 /(LAJL-I CITY OF CARLSBAD INSPECTION REQUEST pERNIT#1 :cB9.3Q282... ". '';•.'.'' "FOR':05/25/93 INSPECTOR AREA TP DESCRIPTION: 180O'SF ELIMNATE SUITE E'.MAY " PLANCK# CB930282 F LARGER CREATE BIRD STORE 0CC GRP B-2 TYPE CTI CONSTR. TYPE VN JOB ADDRESS: :..2624 EL CANINO REAL STE: F. LOT: APPLICANT: 'CALIF BUILDING IMPROVEMENTS PHONE: 619.941-3133 CONTRACTOR PHONE OWNER PHONE REMARKS: MH/'RENO/'941-3133 . . INSPECTOR SPECIAL INSTRUCT: TOTAL TIME:.--: --RELATED PERMITS-- PERNIT# TYPE STATUS CB930454 SIGN ISSUED CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural '29' PL-Final Plumbing 39 EL Final Electrical 49 ME 'Final Mechanical INSPECTION HISTORY 'DATE 'DESCRIPTION . . "',' " ACT INSP COMMENTS' '052093 Final Combo ' . CO TP. 051993. Frame/Steel/Bolting/Welding AP TP' . DISPLAY PLATFORM.. 051993 Rough Electric ' TP' .AP DISPLAY PLATFORM 050393"' Interior Lath/Drywall' AP TP '043093 "Frame/Steel/Bolting/Welding .AP, TP.' 043093 Rough/Topout PA TP VENT FOR TUB SINK 0430931 ,'RóughElectric " ' AP TP WALLS ONLY . ESGIL CORPORATION 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (619)560-1468 DATE: 4./2C/92, .IçNT. JURISDICTION: á.adsbo.c( '• OPLAN -. OFILE COPY PLAN CNECK.NO: 93-2 SET: DUPS: []DESI-GNER PROJECT ADDRESS '2L,'2.4 E Coo PROJECT NAME \&h1 The plans tranmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficien- cies identified . ar,e resolved aid checked by building department staff. - l The plans transmitted herewith have significant deficiencies identif led on the enclosed check list and should be corrected and resubmitted for a complete recheck..: E] The check list transmitted herewith is for your information. • The plans are being held at EsgilCorp. until. corrected. plans are submitted for recheck. -, The applicant's copy of the check list is enclosed for the jurisdiction to return to the applicant contact person. The applicant's copy of the check list has been sent to Esgil staff did not advise the applicant contact person that plan check has been completed. fl Esgil staff, did advise applicant that the plan check has been completed Person contacted Date contacted: • .• Telephone I • • REMARKS (1-t,-h)_-E-\A&±bA4 __1cces_-Prrny ' a5mO1d (fl\*\ •• By Enclosures: QL CORPORATION 4//93 -__• DGA 9CM ESGIL CORPORATION 61 9320 CHESAPEAKE DR., SUITE 208 SAN DIEGO, CA 92123 (619) 560-1468 DATE: 4 /9 /92 DAPPL IJRISDICTION JURISDICTION: CARLSBAD PLAN KER UFILE COPY PLAN CHECK NO: 9-Q2. SET: I DPS IDDESIGNER PROJECT ADDRESS:2.o'14-. PROJECT NAME W d BtccLs UA kim ftc( T L The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. E.The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficien- cies identified are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. .• WM The check list transmitted herewith is for your information. The plans are being held at Esgil Corp. 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 The applicant's copy of the check list has been sent to L111 tc4ze - Desm 474 v c1cck(anc Cott de eozcA. 92 79 Esgil staff did not advise the applicant contact person that plan check has been completed fl Esgil staff did advise applicant that the plan check has been ôompleted. Person contacted: tzer Date contacted: Telephone #b _ 6,525 41 b77, ___________ U REMARKS •, By QLA Enclosures y-ecc et'v ESGIL CORPORATION 441 19-1 C : El GADCM PLAN CORRE TION slim IMANr IMPRaVEMERr PLAN NO.: 93 Q_è,2 Date plans received by jurisdiction: JtJRISDIflON CARLSBAD TO: _Lrfter 1Dy 4 Cctt d CA'-9')- &7 W DATA OCCUPANCY: e, Bu]LDnsG USE: ehii .ciC's TYPE OF Q)NSTRUCIION: J-k Date plans received by Esgil Corporation: 4R/9? Date initial plan check completed: 4/.9(9?)__By:ACk\ke\& Applicant contact person: L\/ _hr*ze _Tel.(7L4)5 47 FOREWORD: PLEASE READ a Plan check is limited to technical requirements ACIUAL ARIA:\Cl2)()_L..L_(2i0_./ contained in the Uniform Building Code, Uniform 1 Plumbing Code, Uniform Mechanical Code, National ALLOWABLE AREA: Electrical Code and state laws regulating energy conservation, noise attenuation and access for the S1C: 'handicapped. The plan check is based on regulations enforced by the Building Inspection Department You may have other corrections based on laws and rordinances enforced by the Planning SPRINKL: Department, Engineering Department, Fire Department A f•) or other departments Code sections cited are OPANT LOAD 't.D based on the 1991 UBC 4wThe circled 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 303(c).,:.1991 Uniform Building Code, the approval of the plans does not permit the violation of any state, county or city law To_speedup the _recheck process, note onthislist (or _a copy) _where __each correction item has been addressed, i _e___plansheet_specification_etc Be sure _to enclose the _marked up list when you submit the revised Plans. 1. Please make all corrections on the original - tracings and ,submit two new.sets of prints, to: - Esgil Corporation, 9320 Chesapeake Drive, Suite 1208, San Diego, CA 92123, (619) 560-1468. Please make all corrections on the original f tracings and submit two new sets of prints, to: The jurisdiction's building department. Indicate an the Title Sheet of the plans, the name of the legal owner and name . of person responsible for the preparation, of the plans. Section 302(d). Each sheet of the plans must be.signed by the / person responsible for their preparation, even though there are no structural changes. Business and Professions Code. Plans and calculations shall be signed by the / California state licensed engineer or architect. where there are structural changes to existing buildings or structural additions. Please include the California license number, seal, . date of license expiration and date plans are signed. Business and Professions Code. Provide the correct address, and suite number of 7 tenant space on the plans. Section 302(d). Provide a note on the site plan indicating the / previous use of the tenant space or building being remodeled. Section 302. When the character of the occupancy or use changes within a building, the building must be , made to comply with current Building Code requirements for the new occupancy. Please provide complete details to show the building with comply.':. Section 502. UBCSectiOn 304 requires. the Building Official. :1 to determine the total value of all . construction work proposed under this permit. The value shall include. all. finish work, painting, roofing, electrical, plumbing, heating, air conditioning, elevator, fire extinguishing systems and any other. permanent equipment. Please provide a signed. copy of the designer's or contractor's construction cost estimate of all work propOsed. Provide a plot plan showing the distance from the building to the. property lines and' the location of tenant space (or remodel) within the building. y(. On the first sheet of the plans indicate: 7 Type of-construction of. the existing building,.... present and proposed occupancy classifications of the remodel area and the occupant load of the remodel areas and the floor 'where the tenant improvement is located,. Provide a note on the plans indicating if any 1 hazardous materials will be stored and/or used within the building which exceed the quantities-listOd.in.dJBC Tables 9-A and 9-B. A complete description of the activities and processes that will occur in this tenant space should be provided. A listing of all hazardous materials should be included. The materials listing should be stated in a form that would make classification in Tables 9-A and. 9-B.possible. The building official may require a technical report to identify and develop methods' of protection from hazardous materials. 'Section 901(f). If control areas are used for exceeding the exempt amounts ,of hazardous, materials from Tables .9-A and 9-B, they shall be constructed of not less that required for a one-hour occupancy separation. ,Section 404. - The number of con€rol areas within a building j used for retail/wholesale stores shall not exceed two; the number of control areas in buildings with other uses shall not exceed four. Footnote 1, Tables 9-A and 9-B. The •aggregate quantity of any, hazardous materials "in use" and "in storage" shall not exceed the quantity listed in Tables 9-A and .9-B for "storage". Footnotes 2 and 3, Tables 9-A and 9-B. ' Provide a statement on the Title Sheet of the plans that this project shall comply with Title 24 and 1991 UBC, .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 pians to scale and indicate the scale on the plan. 'Section 302(d). . Indicate the use of all spaces.adjacent to the '7 area being remodeled or improved. Show any existing fire rated area separation / • , walls, occupancy separation, walls, demising walls, shafts or rated corridors. Identify and provide construction details for proposed new fire rated walls. 8/4/92 ' . . . . . ' 2 Identify existing walls to be removed, existing walls to remain and proposed new walls. Identify bearing walls, non-bearing walls, and shear walls: Provide a section view of all new interior / partitions. Show: Type, size and spacing of studs. Indicate. gauge for metal studs. Specify manufacturer and approval number or indicate "to be ICBO approved". Method of attaching top and bottom plates to structure. (NOTE: Top of partition must be secured to roof or floor framing, unless suspended ceiling has been designed for partition lateral load). Wall sheathing material and details of attachment (size and spacing of fasteners). Show height of partition and suspended ceiling, and height from floor to roof . framing or floor framing. VI In buildings having floors and roofs of wood frame construction, other than dwelling or hotel occupancies, draft stop the area between the ceiling and roof above so that no concealed space exceeds 3,000 s.f. and no horizontal dimension exceeds 60 L.F. (if space has sprinklers, then 9,000 s.f. and 100 L.F.). Section 2516(f). Storage areas exceeding 1000 sq. ft. in connection with wholesale or retail sales shall be separated from the public area by a one-hour occupancy separation. If the entire building has an automatic sprinkler system, then the occupancy separation need not be provided. Section 702(c). An automatic sprinkler system shall be installed in rooms used by the occupants for the consumption of alcohol and in accessory uses where the total area of such unseparated rooms and assembly uses exceeds 5000 square feet. Section 3802(c). 32. The tenant space and new and/or existing facilities serving the remodeled area must be accessible to and functional for the physically disabled. See the attached correction sheet. Title 25, Part 2. 4'. The width of the required level area on the side into which doors swing shall extend 24 inches past the strike edge for exterior doors. and 18 inches past the strike edge for interior doors. Section 2-3304, Title 24. ,2. Specify lever-type hardware for passage doors on floors accessible to the disabled. Section 2-3304, Title 24. If both sexes will be employed and the number of employees exceeds four, provide separate toilet facilities for men and women. If "both 23. Show safety glazing in the following Larations, per Section 5406(d): A.At4JT TO 3VJ a. Where the nearest edge of glazing is within a 24-inch arc of either side of a door in a closed postion -(unless there is an intervening wall between the door and the glazing or if the glazing is 51 -0" or , higher above the walking surface). )'. Glazing greater than 9 square feet with / the bottom edge less than 18" above the floor and the top edge greater than 36" above the floor (unless the glazing is more than 36" horizontally away from walking surfaces or if a complying protective bar is installed).., / / Glazing in shower and tub enclosures (including windows within 5 feet of tub or shower floor). $. .f '/V - ' 6..Note Provide notes and/or details to show that the floor and wall finish in toilet rooms are surfaced with a smooth hard non-absorbent material extending five inches up the wall, Similar surfacing shall be provided on the walls from the floor to a height of 4 feet around urinals and within water closet compartments Section 510(b) '•V .• -: on the plans: "All interior finishes must comply with Chapter 42 of V the UBC". Specify "Class flame spread. rating- (minimum) . ' j ). / j A7. / sexes will be employed and the total number of employees will not exceed four", and only one restroom is provided, note the words in quotation above on the floor plan. Section 705(c).- . A ._-hour occupancy separation is required between _occupancy and the __occupancy. Table 5-B. Ducts penetrating occupancy or area separation walls must have fire dampers. Section 4306 for •V H. (j). V V V )4'• I . .1 - . Note on plan that suspended ceilings shall V comply with UBC Tables 47-A and 23-P. . frame construction, other than dwelling or hotel occupancies, draft stop the area between the ceiling and floor above so. that no concealed space exceeds 1,000 s.f. and no horizontal dimension exceeds 60 L.F. (if space has sprinklers, then 32000 s.f. and 100 L.F.). In buildings having floors and roofs of wood )1. / J3. / 40. / • In areas where the occupant load exceeds —, two exits are required. See______________ Table 33-A. Provide an exit analysis plan (may he 8 1/2" x 11" or any convenient size). . V Exits should have a minimum separation of one- half the maximum overall diagonal dimension of the building or area served. Section 3303(c). Section 2516(f). 7/8/92 V . . V 3 4) The maximum number of required exits and their be I. Corridors must provide continuous protection required ,separation must maintained until / to the exterior of the building. egress is provided from the structure. Section Interruptions by an intervening room is not 3303(a). permitted. Foyers, lobbies or-reception rooms 43. S Rooms with more than 10 occupants may have one constructed as required for corridors are not considered intervening rooms. Section 3305. /5. exit through one adjoining.room. Revise exits to comply. Section 3303(e). Corridors and exterior exit balconies serving • 10 or more occupants must be a minimum 44 0. Exit signs are required whenever two exits are inches wide and 7 feet high to the lowest / required. Show all required exit sign projection. Corridors serving less than 50 locations. Section 3314(a). occupants may be a minimum of 36 inches in Show that exits are lighted with at least one foot candleat floor level. Section 3313(a). /6. width. Section 3305(b). When two exits are required, dead end , Show the locations of existing exits from the corridors and exit balconies are limited to 20 feet. Section 3305(e). /41 building and show the path of travel from the / • remodel area to the existing exits. )7. Corridors serving 30 or more occupants shall fr6. - Note on the plans: "All exits are to be / ( have walls and ceilings of one-hour construction. Show compliance or clearly show / openable from inside without the use of a key on plans which of the following exceptions has or special knowledge". In lieu of the above, been satisfied: in a Group B occupancy, you may note '!Provide a sign on or near the exit doors reading THIS Corridors greater than 30 feet wide when DOOR TO REMAIN UNLOCKED DURING BUSINESS HOURS". the occupants have an exit independent This signage is only allowed at the main exit. from the corridor. Section 3304(c). i Exterior sides of exterior exit JO.- Exit doors should be a minimum size of 3 feet balconies. f by 6 feet 8 inches with a minimum door swing of 90 degrees. Maximum leaf width is 4 feet. C. Corridor walls and ceilings need not be Section 3304(f). of fire-resistive construction within office spaces having an occupant load of 38. Exit doors should swing in the direction of 100 or less when the entire story in / egress when serving an occupant load of 50 or which- the space is located is equipped more or when serving any hazardous area. with an automatic sprinkler system Section 3304(b). Applies to door(s)_________ throughout and smoke detectors are installed within the corridor in accordance with their listing )c9. Regardless of occupant load, a' floor or landing •- I not more than 1/2 inch below the threshold is , A. Within office spaces occupied by, a single required on each side of an exit door used for tenant, partial height partitions which disabled access (may be 1" maximum where not ' form corridors and which do not exceed 6 used for disabled access). Section 3304(1). . feet in -height need not be fire . . / . , resistive, provided they are constructed O. Doors should not project more than 7 inches in accordance with Section 1705 and are - / . into the required corridor width when fully . not more than three fourths of the floor- opened,- nor more than one-half of the required . to-ceiling height. Section 3305 (g). corridor width when in any position Section / 3305(d) Section 3305(8), Exception 5, cannot be used I for non-rated corridors in a fully sprinklered fri Revolving, sliding and overhead doors are not office space if the occupant load in the space 7 permitted as exit doors if the occupant load exceeds 100 - exceeds 9 or- the exit door serves a. hazardous area Section 3304(h) Section 3305(g), Exception 5 does not apply to S • ' - '••-• ' '. Provide panic hardware in Group A,E,H-1,N-2,H-3 - - counnon corridors where the corridor serves as - an exit for non-office areas (manufacturing, I and I occupancies Chapter 33 warehouse, etc.). / Double acting doors are not allowed when - serving a tributary occupant 'load of'more than - - ( - Section 3305(g), Exception 5 is applicable only for corridors on one floor; the corridors 100, or when part of a fire assembly, or part - on the lower level(s) must be rated if.these - - of smoke and draft control assemblies or when-- - lower corridors have openings into them from equipped with panic hardware. Section '- other levels. , 3304(b). -• • • • S ' S -: .• 5/28/92 • • S 4 If non-rated corridors are used per Section . If a room with an exhaust fan has a door 3305(g), Exc. 5, provide a reference to the ( opening into a rated corridor, show how make- corridors on the floor plan, noting: up air' will be provided to the room. The door aniit be undercut, nor can a louver in the 1. Corridors are non-rated' per Section ' door'be provided. Section 3305(h)l. 3305(g), Exception 5. 70. If building exceeds two stories and has an 2. Smoke detectó'rs shall be maximum 30' on I elevator opening into a rated corridor, show center, how the smoke and draft control provision of - - , Section 3305(h) will be met. Either provide a '3. Power , supply shall be' dedicated branch , separated elevator lobby or a second door at circuit. Circuit disconnecting means the elevator entry meeting the provision. shall be accessible only to authorized Section 3305(j). personnel and shall be clearly marked FIRE ALARM CIRCUIT CONTROL, with a lock-on ' 71. If a second door is provided at the elevator device. ' ( entry, note-that-it will be readily openable ' from the car side without a key, ' tool or 6?/ If a tenant space utilizes Section 3305(g), , , special knowledge or effort. Section 5106. f Exception 5, th'en that tenant space..shall'be separated from adjacent 'spaces by a demising , ' 7. New provisions in chapter 143 of the 1991 UBC wall constructed as 'for a one-hour. corridor require special treatment of penetrations at wall.' ' fire-resistive assemblies. Provide typical details on the plans showing how the fire- Clearly show where the non-rated corridor resistive integrity will be maintained at the system terminates and a rated corridor system ' f o 1 1 owing conditions (Include the commences. - manufacturers' names and ICBO numbers (or equal) for any sealant): 6. One-hour fire-rated corridors shall have A. THROUGH- PENETRATIONS (through the entire ( interior door openings protected by tight- assembly): fitting smoke and draft control assemblies' Fire-resistive bearing walls and/or rated 20 minutes, except, openings in interior ', walls requiring protected openings shall walls of exterior exit balconies. Doors shall have penetrations protected with through- , be maintained self-closing or be automatic- , ' penetration fire stops having' an F- closing by action of a smoke detector per rating, I-rating or complying ,with UBC Section 4306(b). Doors shall be gasketed to Standard 43-1, depending on their provide a smoke and draft seal where the door ' locations, sizes and combustibility. meets the stop on' sides and top. ' Section Fire resistive floor/ceiling' assemblies shall.have penetrations protected with through-penetration'fire stops having and /5- Total area of all openings, except doors, in ' F-rating,' I-rating or complying with UBC any portion of an interior corridor, shall not Standard 43-1,, depending on their sizes, exceed 25 percent of the area of the corridor , combustibility and whether the wall of the room which it is separating from, penetrations are in walls above. the corridor. Such' openings shall be protected B. MEMBRANE- PENETRATIONS , (through only one by fixed glazing listed and labeled for a fire- ' ' side of an assembly): protection rating of at least 3/4-hour. ' . 1. Fire-resistive walls (whether bearing or Section 3305(h). , not and whether requiring fire protected , / openings or not) shall have penetrations t6 Show rated corridors,, lobbies, reception or ., protected with membrane-penetration fire foyers cross-hatched on the floor plans.. r stops 'having an F-rating or complying with UBC Standard 43-1, depending on 67. Provide a complete architectural section of the-, corridor, or exterior exit balcony, , ''' ' their size and combustibility. Limited steel electrical outlet boxes (not f , showing all fire-resistive materials and exceeding 16 sq in , nor more than 100 details of construction for all floors, walls," : : sq. in. for any 100 sq. ft. of wall) ceiling and all penetrations. Section: ' require no protection. 3305(g) 2 Fire-resistive ceilings shall have no penetrations, except for noncombustible . Show the location of fire dampers. Provide, ' ' sprinkler pipes ' and steel electrical , f fire dampers at duct penetrations, of fire- ' outlet boxes as described, above. rated occupancy and area separations, shafts, NOTE: The plans should indicate the various and corridor -ceilings. Combination fire/smoke' ' fire-stop ratings required for all dampers are required at duct penetrations of . penetrations. corridor walls. Section 4306(j). ,rated 73; Provide a note on the plans stating "Penetrations of fire-resistive walls, floor- - ceilings and roof-ceilings shall be protected as required in UBC Sections 4304 and 4305" 8/4/92 PLUMBING Provide gas line plans and calculations, showing pipe lengths and gas demands. UPC Section 1219. Provide drain, waste and vent plans. Provide evidence of Health Department approval / (for restaurants or for tenants using X-ray equipment). 4'. If nonflammable supply cylinders Ifor medical / gas systems -are located inside buildings, show how they comply with 'UBC Section 702(c)4. ELEC1RI S Submit plan showing location, of ailpanels. Submit panels schedules. -. - Submit electrical load calculations Indicate existing main service,size. )d. Indicate existing total main service load. . Indicate new additional loads. . Indicate wiring method, i.e. ENT, metal flex. 71 Show exit signs on 'the electrical lighting f plan(s). As per Section 3313 and 3314 of the. 1991 UBC, provide two sources of power to exit signs and exit illumination. Provide receptacle(s) within 25' of 'HVAC f units. UNC Section 509. 85. Provide multiple switch lighting controls per Title 24, Part 6. . PANICA. Provide mechanical ventilation in all rooms / capable of supplying a minimum of 5 cubic feet per minute of outside air with a total . circulation of not less, than 15 cubic feet per.. minute per occupant. Section 605 and 705, UBC. 87. Provide mechanical 'plans showing existing and proposed HVAC aquipqmt, ducts and access to equipment.' . . Detail access Wand' working . clearances to . HVAC f equipment Detail disposal of main condensate drainage. f. from air conditioning units. : (UMC Section. 510) Detail overflow (secondary) condensate . discharge from air conditioning units. that are in a ceiling space. (IJMC Section 1205) Fire rated corridors are not to , be used to I convey air to or from rooms. UMC Section - 1002. Provide water line sizing calculations. UPC Section 1009. Detail how floor drain,, trap seal is to be maintained. UPC Section 707 (floor drain trap priming). Show P. & T valve on water heater and detail drain line route from P & T valve to the exterior. UPC Section 1007(e). Show 1/4" per 12" slope on drain and waste lines. UPC Section 407. Provide a drinking fâuntain at each floor level in assembly occupancies (except drinking' and dining establishments). UBC Section 605. Note on the plans that new water closets and associated flushometer.valves, if any, shall use no more than 1.6 gallons per flush and shall meet performance standards established by the American National Standards Institute Standard A112.19.2, and urinals and associated 'flushometer valves, if any, shall use no more than one gallon per flush and shall meet performance standards established by the American National Standards Institute Standard A112.19.2. H & S Code, Section 1.7921.3(b). ENERGY Provide complete 'energy design calculations, including all existing design and new energy design for this building. See attached non- residential-energy, design checklist. For remodels in an existing conditioned space, show that the remodeled space will not use more energy than the existing space or show the remodeled space' will conform to latest energy design standards. .' CITY OF CARLSBAD SUPPLEMENT Floor drains .must have 'auto-prime (City. 7' Policy). A grease interceptor is required. Show details complying with City Policy '83-34. .. 19. Roof mounted equipment must be screened and 1' roof penetrations' should be minimized '(City Policy 80-6). ' tAA r NA r bkwee ..* Condensate drains must connect to a wet trap The jurisdiction has contracted with Esgil located 9320 Chesapeake Drive, Suite / (dry traps are not permitted). (Memo Corporation at 1/14/83). 208, San Diego, California 92123; telephone number Show fans are duct type; City Policy does not of 619/560-1468, to perform the plan check for your project. If you have any questions regarding these / permit ductless fans. . 'plan check items, please contact__________________ No wiring is permitted on the roof of a Q.L&C_(( L.CLq • building and wiring on the exterior of a - atEsgil Corporation building* requires approval by the Building . Official. (City Policy) - Thank you. ],4'. All roof-mounted equipment shall be concealed Enclosures: - I from view. Provide structural detailing for the screening. , 1. / 9. All panel boards shall have a minimum 100 amp ' rating or approved by the Building Official 2 Only tank-type water closets that use an . , •. / average of .1.6 gallons of water per flush or 3. • less, and urinals and associated flushometer valves, that use an average of 1 gallon of , water per 'flush or less shall be' installed in new construction..These provisions shall apply to existing buildings •only when toilets are being replaced in existing bathrooms or - installed in new bathrooms MISCE11.ANXJS ill Please see additional corrections or remarks that follow 112. To speed up the recheck 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. G to that Please indicate here if any changes have been made the plans 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 Have changes been made to the plans. not . • • • ':-, •, resulting from this correction list? Please • , ' ' - ' - check. , ' • • • ' • - - • - ________Yes No 4 4 ' . 8/10/92 7 TITLE 24 HANDICAPPED ACCESS CORRECTION LIST Jurisdiction QARLSP1D Plan Check No._________________ References to section numbers with prefix 1'2" are to Title 24, California Code of Regulations, Part 2 (California Building Code). Prefix "3" is for Part 3 (California Electrical Code). Prefix "5" is for Part 5 (California Plumbing Code). Exemptions claimed for any item shall be requested in writing and shall include all -data needed to determine "unreasonable hardship" as described in Section 2-422. SITE DEVU..0P}ENT 1. HANDICAPPED PARKING SPACES Provide O.)E handicapped' spaces. 2-7102(b) Space shall be so located that handicapped persons are not compelled to wheel or walk behind parked cars other than his/her own. 2-7102(c) Q:) f no landing is provided, the 'slope of flared sides shall not exceed 1 in 12. 2-7103(d) (JSurface is to be slip resistant and a contrasting finish from adjacent sidewalk. 2-7103(f) f. Border markings shall be 12" wide of 1/4"xl/4" grooves, 3/4" apart, located at top and sides. 2-7103(h) c. Parking space shall be a minimum of 9 WALKS G ft.x18 ft. with adjacent marked 5 ft. loading zone. Double space shall be 23 Site development and grading shall be Gdesigned ft. wide. Where a single space is to provide access to primary provided, ' the loading/unloading zone entrances and access to normal paths of shall be on. the passenger side of the travel and where necessary to provide vehicle. 2-7102(c). 'access. shall incorporate pedestrian ramps, curb ramps, etc. 2-7101(a) d. Maximum slope of parking surface in any. direction shall not exceed 1/4" per Walks-sloping greater than 5 (1 in 20) 0must foot. 2-7102(e). comply with ramp requirements of Sec. 2-3307. 2-3325(c) Parking space(s) shall be identified with the International Symbol of Walk width shall be 48" minimum, and Accessibility on ref lectorized sign shall have slip-resistant surfaces. affixed to post or wall, and '2-3325(a) duplicated on parking surface (symbol to be 361lx36" and 'painted at the back of The maximum cross slope shall not exceed the parking stall). 2-7102(f) ' ' 1/4" per foot. 2-3325(a)3 f. Entrance to parking area (or at each stall) shall have a sign stating that unauthorized vehicle(s) parking in handicapped space(s) 'may be subject to tow-away. 2-71020) I If covered parking is provided, then a reasonable portion of,-the total number of stalls reserved for the disabled shall also be covered. 2-7102(a) , / h. Entrances to and vertical clearances within accessible levels of 'parking structures shall be 8 ft. 2 in. 'to any' structural member, duct or pipe. 2-7102(g) () CURB RAMPS ' a. Curb ramps shall be located wherever 'pedestrian, path crosses curb. ' (2- 7103(a)) Qb- Curb ramp shall be 48" min. width (2- 7103(b)) with maximum slope of 1 in 12 2-7103(d) A level 68" san depth landing is required at top of curb ramps over entire curb ramp width. 2-7103(d) ' "--"Gratings " are not allowed whenever possible. 2-3325(b) f. At each gate or door a 6011x60" level area is required when the gate swings toward the walk. 2-3325(e) , ' Q A 48"x44"' deep level area 'is required when the gate swings away from,the walk. 2-3325(e) ()A 24", clear space is required 'at strike side of gate or door. - 2-3325(e) PEDESTRIAN RAMPS' To IpLpt7 FOQM A path of travel' with a slope greater / than 1 'in 20 shall be considered a ramp. 2-3307(a) The maximum 'slope shall be 1 in 12. / 2-3307(c.1) The width' shall be 48" 'minimum. A minimum width' of 60". is required where a ramp serves as a primary entrance to, buildings having an occupant load of 300 or more. Group R Occupancies may be 36" when the' occupant load is 50 or less. 2- 3307(b.1) ,i. The surface of ramps 'shall be slip- / resistant. 2-3307(g) / A 60" intermediate landing is required / at maximum elevation change of 30" and 72" landing at each change of direction (over 30 degrees). 2-3307(d.1) Landings are required at top and bottom / of ramps. 2-3307(d.l) Bottom landing shall be minimum of 72" / in the direction of travel. Fig. 2-33- 1A Top landing shall be 60"x 60" minimum. / 2-3307(d.1) .• / When door swings onto top landing, / minimum depth of landing required is door width plus 42". 2-3307(d.h.) Top landing shall have 60" min'. width when door swings onto, the landing, with 24",on strike side of door at exterior ramp, or 18" at interior ramp. 2-3307(d.1) G Ramp handrails are required on each side of ramp, when slope exceeds 1 in 15. 2- 3307(e.1) "located shall be continuous, " located 3011-34" in height above ramp surface, with 12" extensions beyond top ' and bottom, and the ends returned. 2-3307(e.1) . '• ' Ssection Handrails shall be 1-1/4" to 2" cross , spaced minimum of 1-1/2" from . wall. 273307(e.1) 2" high curb or wheel guide rail / centered 3" ± 1" above ramp surface is ' ' required on both sides where not otherwise bounded by walls when the ramp exceeds 10 feet in length. 2-3307(h.1). SPECIAL ACCESS LIFTS Lifts may be provided between levels, 'in •' .,lieu of elevator, when' the vertical distance between landings, structural elevator, structural design and safeguards are as allowed by the State of California, Department of Industrial Relations, 'Division of Occupational Safety and Health. 2-5107(a) ,4. The lift platform shall be of sufficient size to accommodate a wheelchair (301lx4811). • 2-5107(a) • (C. There shall be a level and' clear floor area or landing (6011x6011) at'each level for access to the lift 2-5107(a) /H2ARDS •. ': 'Provide 80" headroom from walkway I • surface to any overhanging obs,tction. ' .2-3326(b) ' / Headroom of 80" minimum shall be ( maintained for walks, corridors, aisles, etc. 2-522(f) .'Protruding objects with 'leading edges ( between 27" and 80" above finished floor shall not protrude more than 4" into walks, corridors, etc. 2-522(f) Free standing objects mounted on posts ( between 27" and 80" above the floor may project a maximum of 12". 2-522(f) ( Abrupt changes - in level exceeding 4" / adjacent to walks, except between walks and adjacent streets or drives, shall be identified by 6" high warning curbs above walk surface. 2-3326(a) (1 ENTRANCES, DOORS, VESTIBULES AND CORRIDORS A. All primary entrances to buildings shall be accessible to the handicapped. 2-3301(f) All required passage doors shall have 32" ( clear opening at 90 degrees (36" door). 2-3304(f) At least one of a pair, of doors shall meet the minimum 32" clear entrance width requirement. 2-3304(f) / Threshold shall be no higher than 1/2" Above the floor. Edge to be beveled with a slope no greater than 1 in 2, if more than 1/4". 3304(i.1) ,1. Exterior level landing may slope up to 1/4" per . foot in any direction for surface drainage. 2-413 'I. Door hardware shall be of the lever or ' push type, mounted 30" to 44" above the flOor and be operable with a maximum effort of 8.5 lbs. for exterior doors and 5 lbs. for interior doors. 2-3304(c), 2- 3304(i.2) The lower 10" of the door shall be of smooth, plane surface (no recess or trap) " except at automatic and sliding doors.. 2-3304(i.3) Building entrance(s) shall be identified by sign with the International Symbol of Accessibility. Show location on plan. The symbol shall be a white figure on blue background. 2-522(b) At turnstile, provide an access, gate, 32" clear width opening, within 30 feet of turnstile. 2-3304(1.4) . 5. There shall be a clear area on each side of door, 60" deep in direction of door swing arid 44" deep in opposite direction. of-door swing. 2-3304(i.1) tM 44" CLeAZ t -DkReurloQ Q tOQ SvJE Foci -n Date' 4/9/93 Jurisdiction _CARLSBAD - Prepared by 1 D Bldg. Pept, Ck VALUATION AND PLA N CHECK FEE 0 Esgil PLAN CHECK NO._93- 2...a2... BUILDING ADDRESS 4 E cWiO AP?LIcTLcQN.TACT kr*zer PHoHo.cLt4 s- BUILDING OCCUPANCY -. DESIGNER PHONE____________ TYPE -OF CONSTRUCTION \J-ti CONTRACTOR PHONE BUILDING PORTION BUILDING AREA VALUATION VALUE ]MULTIPLIER TI Air ConditloninE Commercial - -- Residential Res or Comm -Fire Sorinklers Total Value 4Ooô iBui1di g p e rrn it Fee $ 0 O P la n Check Fee $ $ Coti tIE: tITS SHEET. OF I - 17/R7 PLANNING/ENGINEERING APPROVALS PLANNING Q-iE.aciisr Plan Check No CB ZaAddss 26ev Planner VAN LYNCH Phone 438-1161 ext. 4325 (Name) APN: Type of Project and Use 72 * Zone C2.— Facilities Management Zone - 2— H . . 40 gd Item Complete . . Item Incomplete - Needs your action . . 1, 2, 3 Number in circle indicates plancheck number where deficiency was idenrifid . . . Environmental Review Required YES.-' NO TYPE \ DATE OF COMPLETtON Compliance with conditions of approval?.. If.not, state conditions which require action. Conditions of Approval . ~ /C3 C3 Discretionary on Required:, enred YES - NO TYPE APPROVALJRESo NO. DATE PROJECT NO. . . . '. OTHER RELATED CASES: Compliance with conditions of approval? If not, state conditions which require action Conditions of Approval /Oo California Coastal Commission Permit Required YES NO DATE OF APPROVAL: .. San Dl C t ct,r'ic!i Camino Del Rio North, Suite 200, San Diego, CA. 921084725 (619) 521-8036 '. • . • Compliance with conditions of approval? If not, state conditions which require action Conditions of Approval • . • . Site Plan: U-14 C3, Zoning: s71N C1 Landscape Plan Required: YES- NO -J\ See attached submittal requirements for landscape plans d3" /C1 C3 111A 3 C3 0 Al 0 Provide a fully dimensioned site plan drawn to scale. Show: North arrow, prperty, lines, easements, existing and proposed structures, streei existMt?f iñirovements, right-of-way width and dimensioned setbacks. Show on Site Plan: Finish floor elevations, elevations of finish grade adjacent to building, existing topographical lines, existing and proposed slopes and driveway. Provide legal description of property. Provide assessor's parcel number. Setbacks: ). Front: Required Shown [nt. Side: Required Shown Street Side: Required Shown Rear... Required Shown Lot coverage: Required Shown Height: Required Shown Parking: Spaces Required Shown Guest Spaces Required _____ Shown 0 0 0 Additional Comnzn'us_________________________________________ OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER _'L/A1 /-'-13 PLNOC.FRM ity of Carlsbad 93033 Fire Department Bureau of Prevéritio.n Plan Review Requirements Category Building Plan Check Date of Report Monday, April 5, 1993 Reviewed by Contact Name Lynn Hertzer Address 44 Via Candelaria City, State Coto De Gaza CA 92679 Planning No Job Name Wild Birds Unlimited Job Address 2624 El Camino Real Ste or Bldg No F PPied - 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 0 "Disapproved -. Please see the attached report of deficiencies Please make corrections to plans or specifications necessary' to indicate compliance with applicable codes and standards.. Subrnitcorected plans and/or specifications to this office for review. For Fire Department Use Only Review 1st 2nd . 3rd '4 Othe'rAgency ID CFD Job# 93033 : Fiie# . - Hazardous Materials SAN DIEGO REGIONAL occc No* HAZARDOUS MATERIALS QUESTIONNAIRE Management Division COUNTY OF SAN 01160 Business Name Contact Person Telephone \JjiL OS Rti DD ve,vejf 720 — Mailing Address City State Zip Plan File# -5ô4- eo i, ( s ~ 4 d CO\ Site Address City State Zip Plan File# CvieA Pl°i- CvO 9o06 PART I: FIRE DEPARTMENT - HAZARDOUS MATERIALS MANAGEMENT DIVISION: OCCUPANCY CLASSIFICATION 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. Explosive or Blasting Agents 4. Flammable Solids 7. Pyrophorics 10. Cryogenics 13. Corrosives Compressed Gases 5. Organic Peroxides S. Unstable Reactives 11. Highly Toxic or Toxic Materials 14. Other Health Hazards Flammable or Combustible Liquids 6. Oxidizers 9. Water Reactives 12. Radioactives OFFICE USE ONLY If the answer to any of the questions is yes, applicant must contact the County of San Diego Hazardous Materials Management Division, 1 255 Imperial Avenue, 3rd Floor, San Diego, CA 92186-5261. Telephone (619) 338-2222 prior to the issuance of a building permit. FEES MAY BE REQUIRED Yes No Is your business listed on the reverse side of this form? RM Will your business dispose of Hazardous Substances or Medical Waste in any amount? Will your business store or handle Hazardous Substances in quantities equal to or greater than 55 gallons, 500 pounds, 200 cubic feet or carcinogens/reproductive toxins in any quantity? Will your business use an existing or install an underground storage tank? S. . Will your business store or handle Acutely Hazardous Materials? RMPP Exempt Date Initials 0 RMPP Required Date Initials 0 RMPP Completed Date Initials PART III: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT If the answer to any of the questions is yes, applicant must contact the Air Pollution Control District, 9150 Chesapeake Drive, San Diego, CA 92123. Telephone (619) 694-3307 prior to the issuance of a building permit. YES NO Will the intended occupant install or use any of the equipment listed on the Listing of Air Pollution Control District Permit Categories, on the reverse side of this form? (ANSWER ONLY IF QUESTION 1 IS YES.) Will the subject facility be located within 1,000 feet of the outer boundary of a school (K through 1 2) as listed in the current Directory of School and Community College Districts, published by the San Diego County Office of Education and the current California Private School Directory, compiled in accordance with provisions of Education Code Section 331907 AA Of ?(r2E 140U Oo Name of Owner or Aiized Agen Signature bf Owner Lu 31 / under, penalty of perjury that to the best of my knowledge and belief the responses made herein are true and correct. Date: Do not writebelow this line 1'). I FIRE DEPARTMENT OCCUPANCY CLASSIFICATION:_______________________________________________________________________ BY: Date: EXEMPT FROM PERMIT REQUIREMENTS COUNTY-HMMD APCD APPROVED FOR BUILDING PERMIT BUT NOT OCCUPANCY COUNTY-HMMD APCD - ' APPROVED FOR OCCUPANCY COUNTY-HMMD APCD Environmental Health Services 0 County of San Diego DHS:HM-9171 (6/92) Department of Health Services INDUSTRIAL WASTE DISCHARGE PERMIT -.-::- CB APPLICATION SENo APPL NO lOS'? - I _CLASS________38 U cd L\Am BUSINESS NAME SITE ADDRESS y u'yxrô -: CONTACT PERSON (at business) Von VtrP* PHONE NUMBER Type of -Busineèé (check all that appIy) : • -. • - O Agricultural 0 Government 0 PhotoLab S 0 Assembly : '- 0 Laboratory. - ,Retail -• 0 Automotive ••. -, , DLaundry - - 0 Service Station . O Chemical Handling 0 Manufacturing 0 Warehouse O Electronics 0 Medical O Other__________________ 0 Food - - - 0 Metal Work • - DOnice DESCRIBE WASTE OTHER THAN DOMESTIC (Chemicals, Particutes, etc) t\1OL DESCRIBE BUSINESS ACTIVITY:, _______ • _____ —o vc -t S( • -j •• GENERAL DESCRIPTION OF ONSITE WASTEWATERPROCESSlNG (chemical & physical characteristics)_ -a '-.,. • Is business presently in operation at site. 0 YES NO for Encina -' - S Water Authority" 0 YES 14 NO Has Wastewater. Discharge Permit been applied through ,the -AppEicant's Name -LV\Y _•- .. TitIô _ Re r _______ Phone 14_L1 -• : Please Print , - 5; -. • r - -S 4 Agency Signature: Date___________________________ P DccsuuISFossrsOoo45 1 REV 2/10/92