The URL can be used to link to this page

Home My WebLink About1 LEGOLAND DR; DUPLO; CB973250; Permit,.,,,,, BU IL DI.NG.PERM 1 T Permit No: -CB97J2 s.o Pr:oject No: A97041{31·: 10/31/97, 10: 49 P9g.e 1 of 1 Job Ad~ress: 1 LEGO DR S.uite: Pe·rmit Type: COMMERCiAt ·su:tLDI:NG Parcel .No: . Valuation: · 156,580 Occupancy G:roup: Des:cription{· MAIN ISLAND BRIDGE : PLAN CHECK 97-2720 Lot#: Reference#: 11 LAGOON 11 . ~ . CITY OF CAR_LSBAo· 310 Developtn~nt No: .. .C6nstru:ction Type: VN . Stat~sr ISSUED'·· . . Applied: 10/28/9-1. · 097 Apr/Is1;m~: ·_10/31'/9·7. . . -· l EW~t~cl ooo;.; 0.1!'1D Eo2. . 4 5 3.:..01 O o C'"'.PRMT · 1;!;.141;.00 . . .· ' ;J 2075Las Palmas Dr., Carlsbad, CA 9'.?009· (619) 438-li61 10/3;1./97 10;53 Page· 1 of . 1 Job Address: 1 .. LEGO D:R . . Pe-rmit Type,: ffEWER -COMM)::RCIAL/INDUSTRIAL Parcel No: .211-022-16...,QO De$cription: ;LEGOJ;.rAND CARLSBAD. LAGOON-CLUST . : L'E'GQLAND CARLSBAD.FAMILY PARK -$trite: Permi't$e: tEGOLAND_CARLSBAD, ,!NC 619-4Ba...:55'jo· . · 5600. AVENIDA ENCINAS. STE: 130 CA.Rt.SBAD . CA 9200-8 CITY OF. CARLSBAD Permit No: SE9·70200 · ·. Bldg Planck#: CB972·027 0971 10131/97 0001 01 , .. . Stat4Wkr I.S~D , App:J-ied: 10/3'1.~~,00 Apr/Issue: 10/31/97 Expired: . Pr·epa:ted By: BH , ' ~.--' · 2075 .Las Palmas Dr., Carlsbad; CA 92009 (619) '438-H6l l \ PERMIT APPLICATION PLAN CHECK NO. ____ _ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL.--------------- Plan Ck. Deposit __________ _ Validated By _________ _ Date. _____ ~--------- 1. PRo.iECT 1,Fl!.,ff!J!ATION CJ<4 u:::L2Z> LJ?!vE Address (include Bldg/Suite II Business N~m1 let this 1ddruar Legal Description Lot No. Subdivision N11111/Numblr Unit No. Phase No. Total I ot units As;.:sor's Parcel i..J ~0-0~- ·Description of Work Existing Use Propo11d Use SQ.·FT. · lot Stories I of Bedrooms fl of Bathrooms Name Address City St1t1/Zip Telephone fl Fax# ;3 ... APPLICANT . CJ Contractor . CJ Agentfor Contractor :'.CJ;ownet-':~CJ Aiienf iot 0wntf'."0~,,:·~--.;·:"""'"::C:-': ':'-;--,-··---..... Name Addr11i City St1t1/Zip Telephone I 4. PROPERTY'OWNER Name Addrua City S.tite/Zip Telephone fl 5 •. ·coNTMCTOR-COMPANYNAME' ·------~,-------,,------..---,-~~-·-·_.-.,..,_,-•, ..... ...,., __ ,,.""'.' ..... ::.l ·:'. .-=:::.:·.!: ·: _,.~·,: .. :· ·:.'2·:).:;~;::;-:--·---. -. State License # --------..;--- 6. WORKERS' COMPENSATION -. ... --~ --·;·s•-:·· -----_--' ·-:--;·_---:: :;·:--:··:"=:;'!:;"";";",7 .:;-:_-:::-::-x:-·,:;::r,-··_·:··_ ·, ; , - Workers' Compensation Declaration: ! hir1by" affirm under penalty of perjury one-of the following d1cl1rationi: O I have and will maintain a certificate of consent to 111f-ln11Jt1 for workers' compe1111tlon II provided by Section 3700 of the Labor Code, for ~he performance of the work for whic·h this permit-is issued. lX. I have and will maintain workers' compensation, 1s requirad by Saction 3700 of the Labor C:od1, for the perform1nc1 of the work for which this permit ls fs;~ed. My worker's c ensatio i r1~c1 c1rriir·al]d olicy gumbar are: J) / ! ~ Insurance Company ,,.,,VI_,,.,,,.__., 1,¾J-, Polley No. ~ 1fo 4oZ'Z--7'VD Expiration Date o{?D /'/ 0 . ---I !THIS SECTION NEED NOT BE COMPLETED IF THE PERM IS FOR ONE HUNDRED DOLLARSlt100J OR LESS! O CERTIFICATE OF EXEMPTION: I certify that in.the performance of the wMk for which thi1 permit la ~sued, I 1hall not employ 1ny person in 1ny manner 10 as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to Hcura workar1' compenaatlon co · iwful, ~ lhlll 111!:ljlct !Ill employer to crtmlnal pelllltlu •;clvU fin11 up to one hundred ~~~:;;~::Hara lt100 O J, IHtlon to the cost of, .. adon, ~----~vWed_f~ ~ =,:;;~;:.:rr1f't!z:~~-~.~=~.:~.~~ ,~--, 7. OWNER-BUILDER l;>EC · · ·. · , ~. ·,: ...... .. , · I hereby affirm that I ilm ex pt from-the· ntractor'1 Ucense Law for the following reason: O I, as owner of thl[I pr perty or my employns .with· w1g11 IS their sole compensation,-will do ·the work ind the ltructure is not Intended or offered for 11le (Sec. 7044, Business ind Professions Coda: The Contrictor'i-Ucim11 Law. dou not apply to 1n owner of property who builds or Improves thereon, and who don such work himsalf or through his own employns, provided that iuch.lmprov1mant1 ire not Intended or ofiered for 1111. If, how1v1r, the bulldlng or Improvement II sold within one year of compl1tlon, the owner•bl,lildar will have the·burden of proving that he did not build or Improve for the purpoee of 11111. O I, as owner of the property, am e)Ccl111lv1ly contracting with licensed -contractors to construct the project IS1c. 7044, 8utine11 and Prof111lona Code: The Contractor's Licensa Law doas not apply to an owner of property who builds or improv11 thereon, and contrectl for auch projects with contrectorlsl lie-Id pursuant to the Contract~r'1 License Law). · O I am exempt under Section _____ Bualn11s ind Profe11lons Code, for this re11on: 1 . I personally plan to provide tha major labor ind materials for con1t;uction-of the propo11d property lmpro\11mtht. 0 YES C)NO 2. I (have / have notl signed an application for I building permit for th1 propo1id work. 3. I have contracted with the following person lfirml to-provide the propi;,11d ~onstruction !Include name/ 1ddr111 / phone number/ contractors license number): . 4. I plan to provide portions ·ot the work, but I hive hired the fol/owing peraon to coordmat1, iupervile ind provide the major work !Include name/ addrus / phone number / contractors license number): · · 5. I will provide aome of the work, but I hive contract1d·thlr1dl-the followi;,g peraona to provide the work Indicated (Include name / addri11 / ph""8 number / type of workl: _______________ ..,.. ________________________ ....,.. __________________ _ PROPERTY OWNER SIGNATURE ::::::-::=:=:=i:7":====:z~:::;::;:-~;;;;:;::;:;;:;:=::;::;;~:::;;::;;; DATE ________ _ :COMPLETE THIS SECTioN· FOR NON-liESIDiN(w. ilUn.biNG P!liMitiloNi. f ::.i:'"!!1'--· ; · ,•:t-~~·::"'~T~~~-~::r.T~::,:"".'.:'':l~·;-~~:-~·f~':'"'-'' ~-· ~ ..• ·• '!"'·:~-~-~ ··---~~- Is the applicant or future building occup1rit required to aubmit a bu1fnns plan, ecutely hazardous m1teri11i registration form or riak m,nagemant and prevention program under Sections 25505; 2553.3 or 25534 of the Pr~1y-T1nn1r Hi11rdous Substance Account Act7 [J YES [J NC> Is the applicant or future building pccup1nt required to obtain I permit from the 1ir pollutlon·control dlstri_i:t or.air qu1llty m1n1gement district? 0 YES D NO Is the facility to be construct11d·w1thin 1,000 feet of the outer boundary of a •chool aite7 CJ YES 0. 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 $ERVICES AND THE AIR POLLUTION CONT~OL DISTRICT. :a... CONSTRiJCTio;H.EiiiDINci AGENCY ,•--·w:.'.::-~•:::-:-="."-"-'.~-:-r:::·:;::7?-;!~=~"" .. --.,.,·r.""""~'-::•..,..,...,._'._:'.'-0"'-~-""' ..... ~------,,~---• • •• I hereby affirm that there is a construction lending agency for the performanr::e of the work for which this perinft Is issued !Sec. 3097111' Civil Code I. I certify that I have read the application and at1te tl!at. the above information is.correct ind that the lnfomi1tion on the pians-11 ,ccurate. 1· agree to comply with 111 City ordinances and State laws relating to building construction. I ~e_by authorizi rtP,re11nta_tiv11 of the Cl~t 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 LIABILITIES, JUDGMENTS, COSTS AND.EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAiD CITY !N CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5•0• d11p end damolltlon or-construction of structures over 3 stories in height: EXPIRATION: Every permit issuad;by the Building Official under the provisions-of this Code shall expire by limitation end become null and void if the building or work authorized by such permit is not com enced within 365 days from the date of such perinit Qr .If the building or work authorized by , h permit is suspended or abandoned at any time efter the i commenced for a perl -180 days !Section 108.4.4 Uniform.Building Code). APPLICANT'S SIGNATURE ----i>4-,~;.L....-~-----------,---....... ---DATE -1<-.---....:=-..c..,<.--'------ YELLOW: Applicant PINK: Finance City of. Carlsbad Inspection Reque~t For: 2/25/99 Permit# CB973250 Title: MAIN ISLAND BRIDGE LAGOON Description: PLAN CHECK 97-2720 Type:COM Job Address: Suite: Location: Sub Type:· 1 LEGO DR Lot l\PPLICANT : ADACHI, KYOKO ·Own~r: LEGOLAND CARLSBAD INC <LF> LEGO Remarks: AM PLEASE Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Comments _ Inspector Assignment: PD ------- . Phone: 7609300099 EX 229 lnsp~cto~ Requested By: LARRY . Entered By: CHRISTINE -----------_ .. ___ ---------------'-------------------- -Inspection History Date Description Act lnsp Comments 10/26/98 34 Rough Electric co PD 10/9/98 19 Final Structural WC PD 10/9/98 84 Rough Combo AP PD WALLS 10/2/98 18 Exterior Lath/Drywall AP PD 10/1/98 18 Exterior Lath/Drywall co Pb 9/22/98 11 Ftg/Foundation/Piers AP PD MISC WALLS 9/22/98 61 Footing AP PD 9/16/98 11 Ftg/Foundation/Piers AP PD .SCENES AT LAGOON 9/15/98 62 Steel/Bond Beam AP PD· 9/11/98 11 Ftg/Foundation/Piers NR DH 9/10/98 11 Ftg/Foundation/Piers NR PD 9/10/98 13 Shear Panels/HD's AP PD 9/10/98 15 Roof/Reroof AP PD 9/9/98 14 Frame/Steel/Bolting/Welding WC PO 9/9/98 34 Rough Electric we PD 9/9/98 83 Roof Sheathing/Ext Shear AP PD 9/8/98 11 Fig/Foundation/Piers AP· .PD 9/1/98 12 Steel/Bond Beam PA PD WALL AT LAGOON ..,, ,,,. Inspection ·List Permit#: CB973250 Type: COM MAIN ISLAND BRIDGE LAGOON .. PLAN CHECK 97-2720 Date Inspection Item Inspector Act Comments 2/25/99 89 Final Combo PD AP 10/26/98 34 Rough Electric PD co 10/9/98 19 Final Structural PD WC 10/9/98 84 Rough Combo PD AP WALLS 10/2/98 18 Exterior Lath/Drywall PD AP 10/1/98 18 Exterior Lath/Drywall PD co 9/22/98 11 Ftg/Foundation/Piers PD AP MISC WALLS 9/22/98 61 Footing PD .AP 9/16/98 11 Ftg/Foundation/Piers PD AP 'SCENES AT LAGOON 9/15/98 62 Steel/Bond Beani PD AP 9/11/98 11 Ftg/Foundation/Piers DH NR" 9/10/98 11 Ftg/Foundation/Piers PD NR 9/10/98 13 Shear Panels/HD's PD AP 9/10/98 15 Roof/Reroof PD AP 9/9/98 14 Fraine/Steel/Boltihg/Weldin PD WC 9/9/98 34 . Rough Electric PD we 9/9/98 83 Roof She~thing/Ext $hear PD AP 9/8/98 11 Ftg/Foundation/Piers PD AP 9/1/98 12 Steel/Bond Beam PD PA WALL AT LAGOON 8/12/98 11 Ftg/Foundation/Piers PD AP AT MAINT BLDG 8/12/98 31 Underground/Conduit~Wirin PD AP 7/28/98 12 Steel/Bond B'eam PD AP 7/24/98 11 Ftg/Foundation/Piers PD AP RADIUS WALL 7/22/98 18 Exterior Lath/Drywall DH AP BRIDGE 7/17/98 11 Ftg/Foundation/Piers PD PA BOAT TRACK 7/15/98 11 Ftg/Foundation/Piers PD AP MAIN LAGOON 7/14/98 11 Ftg/Foundation/Piers-PD NR 7/7/98 11 Ftg/Foundation/Piers PD NR 7/6/98 62 Steel/Bond Beam PD NR 6/30/98 18 Exterior Lath/Drywall PD AP 6/19/98 11 Ftg/Foundation/Piers PD AP NEW ENGLAND SLAB 6/19/98 65 Retaining Walls PD AP 6/17/98 62 Steel/Bond Beam PO PA WALL At BRIDGE 6/10/98 61 Footing PD AP 6/9/98 14 Frame/Steel/Bolting/Weldin PD AP FALSE WORK AT BRIDGE 6/9/98 61 Footing PD AP 4/30/98 61 Footing PD AP 4/29/98 11 Fig/Foundation/Piers PD PA 4/28/98 61 Footing PD NR 4/3/98 11 Ftg/Foundation/Piers PD AP 4/3/98 31 Underground/Conduit-Wirin PD AP 4/2/98 11 Ftg/FoundationlPiers Pp co 4/2/98 31 Underground/Conduit-Wirin PD· co 4/1/98 12 Steel/Bond Beam PD NR Monday, March 01, 1999 Page 1 of.2 .... 4/,1/98 31 Underground/Conduit-Wirin PD NR 3/31/98 31 Underground/Conduit-Wirin PD NR 3/3/98 12 Steel/Bond Beam PD AP Monday, March 01, 1999 Page 2 of2 ' ./ CIIY Of Carlsbad ~ : Final Building Inspection :'.""I'"" • . " . . , Dept: Building Engineering Rtlodifj'g CMWD .St Lite Fire Plan Check #: Permit#: Project Name: Address: Contact Person: Sewer Dist: CB973250 MAIN ISLAND BRIDGE LAGOON PLAN CHECK 97-27.20 1 LEGO DR LARRY Phone: 7609300099 EX 2 Water Dist: Date: ·2,25/99 Permit Type: COM Sub Type: Lot: •••••••••••••••••••••••••••••• ············~-~--•••••••••••••••• 11111111 •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• Inspected Date 1-. ~l.,f.p ~ 9f Approv$d: /Disapproved: __ . By: ~ Inspected: Inspected Date By: Inspected: Approved: Disapproved: -.-. _ Inspected Date By: Inspected: Approved: Disapproved: __ ........................................................................................................................................................... Comments: ------...a....--'----'------------'-------------------- Cltv of Carlsbad · Final Building lnspe,ction · Dept: Building Engineering Planning CMWD St Lite Fire Plan Check#: Permit#: Project Name: Address: Contact Person: Sewer Dist: CB973250 MAIN ISLAND BRIDGE LAGOON PLAN CHECK 97-2720 1 LEGO DR LARRY Phone: 760$300099 EX 2 Water Dist: Lot: Date: 2/25/99 Permit Type: COM Sub Type: ·······························································-·····························································~····························· In~-~<:: /7 1"51 Date r;, 0:7 B~a~ Inspected: :::>·3-/ .... ,7 ..... Approved: Inspected~· ~ ~pproved: _._ By: __________ Inspected: . Approved: ___ Disapproved: __ ._ Inspected Date By:-----~----Inspected: --~---Approved:-. -~ Disapproved: __ . ····························································································•••.!'••························································· Comments:----'-------,,-'--------'------...,.....----"..,....,.--------------- Cltv of Carlsbad · Final Building Inspection Dept: Building Engineering Planning CMWD St Lite .. ~ Plan Check #: Pate: 2/25/99 Permit#: CB973250 Permit Type: COM ---------, Project Name: ~:~: I~~~~:::~~ LAGOON Sub Type: ij ~ (G ~ ~ ,1 ~ ~': ! Address: 1 LEGO DR Lot: ln1 FEB 2 5 1999 ,: i' Contact Person: LARRY . Phone: 7609300099 EX 2 U ~ L~ ' ·,· Sewer Dist: Water Dist: . By ______ __ ·:~~~::;~~ ......... ; ............................ ~:;: .................. ; ................................ /: ............. ""''· ................. - By: h~ Inspected: f i" · . _ Approved: . Disapproved: __ Inspected Date By: Inspected: . Approved: Disapproved: __ Inspected bate By: Inspected: . Approved: Disapproved: __ •• aa I I I I 1111 I I I II I I I II I I I I I I 11111 I II I I iii I Ila l'I 11 I 111 I 1,11 I I I I I I I I I I I 1'• 1 i 11 I I I 11111 I II I 11111111 I 111 I I 11 I I I I I I ii I 11111 ! I I II I I I I I 11 Ii I I I I Ill I I I I I I 11 I 11 I I I I I II II II II Comments: ----,-----,----'------------------,,.,.......------....,......~---- CllY of Carlsbad · Final Building Inspection FEB 2 51999 Dept: Building En9ineer:ii1g Planning CMWD $t Lite Fire CITY OF CARLSBAD ENGINEERING DEPARTMF.NT , Plan Check #: Permit#: Project Name: Address: CB973250 MAIN ISLAND BRIDGE LAGOON PLAN CHECK 97-2720 1 LEGO DR Contact Person: LARRY Phone: 7609300099 EX 2 Sewer Dist: Water Dist: Date: 2/25/99 Permit Typ~: COM Sub Type: Lot: ·····································••'•11!••················································································································ Inspected · Date 3/1/7,: By: lP Inspected: Approved: _ (.__, Disapproved: __ Inspected Date By: Inspected: Approved: Disapproved: __ Inspected Date By: Inspected: Approved: Disapproved: __ ••••••••••••••••••••••••••••••••••••••••••••••• I-. •••••••••••••••• ~··············· .,.,i •••••••••••••••• 1111 ••••••••••••••••••••••••••••••••••••••••••••••••• , Comments:---------,..---------'--,----'-------..,.......--...;.._------'---- SEE MULTIPLE SPECIAL INSPECTIONS SCANNED SEPARATELY CB972·027 IS. THE ' ' PLAN CHECK NUMBER FOR MANY OTHER CB'S ALSO SEE ' CB971460(OUTER PARK) CB971465{ADMfN BLDG) REPORT OF CONCRETE COIV!PRESSION TEST TESTED FOR: DATE: FIELD DATA: MR. DAVID CATTLE LEGOLAND ESTATES -INC 5600 AVENIDA ENCINAS SUITE 130 CARLSBAD, CA 92008 April 14, 1998 LOCATION OF PLACEMENT LAGOON MAIN ISLAND BRIDGE PERMIT# 97-3259 DATE PLACED TIME SLUMP, IN. AIR CONTENT, % AIR TEMPERATURE, °F CONCRETE TEMPERATURE, °F DATE RECEIVED IN LAB FIELD DATA SUBMITTED BY MIX DATA SUBMITTED BY April 06, 1998 11:00 am 65 71 April 07, 1998 PSI\DEREK PETERSON NELSON & SLOAN PROJECT: LEGOLAND THEME PARK CARLSBAD, CALIFORNIA RB;VISION #1 OUR REPORT NO., 059-70202-480 SUPPLIER DELIVERY TICKETNO.ffRUCK NO. MIX NUMBER AND PROPORTIONS CEMENT WATER FIN.E AGGREGATE COARSE AGGREGATE ADMIXTURE } NELSON & SLOAN 688244 1468 COMPRESSION TEST RESULTS ASTM C39-94 SPECIMEN TEST TOTAL CYLINDER LABORATORY IDENTIFICATION AGE DATE OF LOAD DIAMETER NUMBER OR SET NO. (DAYS) TEST (LBS.) (IN.) 16742 A 6 04/12/98 150000 6.00 16742 B 7 04/13/98 152000 6.00 16742 C 28 05/04/98 160000 6.06 16742 D 28 05/04/98 1930.00 6.00 16742 E 00/00/00 16742 F ·-. -· ~---· ·-------------·--· ----------------------- SPECIFICATIONS . ·- REMARKS: I 28 ~ Cylinders made by PSI representative. Cylinders made by Architect's or Contractots representative, . Cylinders picked up by PSI -~ iepresentative. Cylinders delivered to PSl'laboratory. ALL CYLINDERS CAPPED IN ACCORDANCE WITH TECHNICIAN: DEREK PETERSON CYLINDER COMPRESSIVE AREA STRENGTH (SQ.IN.) (PSI) TYPE OF BREAK 28.27 5310 Cone 28.27 5380 Cone 28.27 5660 Cone 28.27 6830 Cone 5000 X Test results comply with applicable specifications. Test results do not comply with . applicable specifications. :'~ Respectfully submitted, Professi~nal SeNice Industries, Inc. cc: LEGOLAND (4), BERN_AED BROTHERS, ;H.O.K., CITY OF CARLSBAD :iladt~ THESE TEST RESULTS APPLY ONLY TO THE SPECIFIC SAMPLES TESTED AND MAY NOT BE IN.DICATIVE OF THE ENTIRE CONCRETE PLACEMENT. REPORTS MAY NOT BE REPRODUCED, EXCEPT IN FULL, WITHOUT'WRITTEN PERMISSION BY PROF.ESSIONAL SERVICE INDUSTRIES, INC. PSI A-200--4 (4)F DISTRI;~AG~:cf Information To Build On Professional Service Industries, Inc.• 6867 Nancy Ridge Drive, Suite E • San-Diego, CA 921?1 • Phone 619/455-0544 • Fax 619/455-1170 ,. l ·1 Environmental ., I Geotechn{cal ~ •-~ Construction Page_1_of _L Consulting • Engineering • Testing INSPECTION .REPORT CLIENT L&o Ld&to DATE 3-2&-'iB Architect HOK. Engineer l)14C.f7;V ,{ DuHN INSPECTION MAT'LSAMPLING _QSHPD __ Concrete Cylinders _OSA __ Cement ~Specialty _·_Mortar Samples __ Mechanical __ Grout Samples __ Electrical __ Masonry Prisms __ Roofing __ Masonry Block _z_Concrete __ Fireproofing __ Masonry __ Units (block or brick) __ Struct Steel _._Asphalt Concrete.· __ Prestress Cone __ Roofing __ Pile Driving __ Reinf. Steei~· __ Fireproofing __ Steel __ Waterproofing __ H.S. Bolts __ Non-Destructive --. Tendon (PT Strands) __ Soils Technician __ .Other __ Batch Plant . __ Other __ Bolt Pull-Out __ Other REMARKS <'o, 1T'?ric ro a QTY -·-· -- -- -- --·---- .. ---- --·- -- -- --·- -·- PROJECT (Name)-'~"'""-=--=4,,,.~\:'1/"'"';}'------''--- (Address) _ bu.µ;allP l1A . REPORT NO. os<:> ·2oz...oi. -t/3J: B Building Permit No ...... -4,__.9'---zL-'-.--...J .... 2"""S:"'"'o=---------- Plan File No·-------------"------- Govt. Contract No. -'---_ _.__ ______ --e------ OSA or OSHPD #------------- Other i-&'7t2W,J Mlhu Zi,41\ t>':> 6 g, i'>f-. a·: MATERIAL DESCRIPTION INSPECTION CHECKLIST 2L Rinf.: Rebar ~l~ -(.\11.-Gz~ ~ Plan & Specs S°Z<2 <? _. _ Rir\f.: W.W.F. ~ Clearances __ Rinf:: Tendons ~ Positions _. _. Cone.: Mix #/psi ~Sizes __ Cone.: Mix #/psi ~Laps __ Qonc.: Mix #/psi . -_ Future Continuity #/psi _. _ Grout: Mix #/psi _ Consolidation __ Mortar: Type/psi _ Mortar Batching __ Units:· Block Electrode Storage __ Units: Brick _._. Torque Applied __ Steel. _H.S.Bolts __ Metal Decking .. ._. _ Electrodes _. _ Fireproofing . _-_Other _ Corrective action required __ .. _ Corrections completed CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the rep-orted·work, unless otherwise noted, substantially complies with approved plans, specifications and applicable sections of the building codes. This report covers the locations of the work inspected only and does not constitute engineering opin- ion or project control. · INSPECTOR NAM~(@ f-11= P f?c.s:n-z¥<:?s (Print Clea11y) INSPECTOR SIGNATURE-=z.2 .... :i.---4-+-~+-.JJ..~"'.':?-:>::!::.t\:;:::. __ :;:::. !11:;;;<:..:..:':D::;:;;;:::···:::-; • ~-•. ,.,.... PSI-B-900-170(2) CERT. NO. O00096/-'B~ QATE_3=-=-~L~b~--7~P~J---------------- - 1 •• ·11..,. .. -- ' . i · .. ~·, Elt~' .-:! ·t . .,..,,,r Ge().techn~cal . ; •• . Construction · .... -~-. ;; ~~~-~--:-_r~ ~~-~- -~-~~ --~. •--:f" ;..~ "'-"-~ ·p 1' f I · age_o __ Consulting • Engineering •. Testing iNSPECTION REPORT. CLIENT Lqz.,a ~dtvl> _DATE 3 -i--7 S Architect __________ ___, _____ ....;_ __ Engineer_.,........_-~-'-------~--,-----'----- Contractor. 'R,-rn.11,.,A e-i> 1, INSPECTION MAT'L SAMPLING QTY __ OSHPD -'<' Concrete Cylinders ~ _QSA ___ Cement---·- ~Specialty __ Mortar Samples --__ Mechanical __ Grout Samples --__ Electrical __ Masonry Prisms --__ Roofing __ M~sonry Block -- ...2L Concrete __ Fireproofing --__ Masonry __ Units (block or brick) __ Struct Steel __ . Asphalt Concrete __ Prestress Cone ___ Roofing -- __ Pile Driving __ Reinf. Steel --__ Fireproofing __ Steel --__ Waterproofing __ H.S. Bolts --__ Non-Destructive _-_Tendon (PT Strands) -- __ Soils Technician __ Other --__ Batch Plant _ . _Other -- __ Bolt Pull-Out __ Other. .. REMARKS S?eun-c., fJS/>t:cr:ao,v 6At bf..,-a;: PROJECT (Name) Lm-zo L,g w ;::, · (Address) D'l&:L:sBAD· C4 REPORT NO. os<i -292 o-z.. Building Permit No. _fs..· .... 7--'_ -;.....;;iae5,2.....,:s~n'----. -------- Plan File No, _______________ _ Govt. Contract No.-------'-------- OSAor OSHPb #-------------- Other /Ab«,,v l!lt11tv ls,-14M;, · &.i bCc ,.r MATERIAL DESCRIPTION INSPECTION CHECKLIST ....k.. Rinf.: Rebar ,4(:.IS ·· €,O ~ Plan & Specs __ Rinf.: w:w.F. _L!:.. Clearances ___ Riof.: T~ndons ~ Positions ...2e... Cone.: Mix #/psi :,'22..--3ocH.J. ~Sizes __ Cone.: Mix #/psi. ~Laps -·:-Coric.: Mix #/psi _ Future Continuity #/psi __ . Grout: Mix #/psi _ Consolidatio __ Mqrtar: Type/psi __ Mortar Batching __ Units: Block _ Electrode Storage __ Units: Brick _· _ Torque Applied ____ Steel . __ H.S. Bolts __ Metal becking --. Electrodes __ Fireproofing __ Other. _ Corrective action required __ _ Corrections completed s,-z.G[., C-21,?t+bt-C • CAP 'S?(-IC-b"'>) e...tAf?4MtY<-C·T'>, -;; ;; -$ 2,.00 . . , :J,,.:,o/2-/t:.-?e:rn,.. ';;,c...;-1 /VS.~' CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise notetj, substantially complies with approved plans, specifications and applicable sections of ttie building codes. This report covers the loci:ttions of the work inspected only and does not constitute engineering opin- ion or project control. INSPECTOR NAME J.3,-..tOaa p · /;;,,a-,,,L~ _ (/nt Clearly) INSPECTORSIGNATURE--p~ :P ? CERT. NO. O 0EJQ? BI -Sf'> DATE 3' -3:-Y 'f2 PSl-8-900·170(2) Page_1_of_l INSPECTION REPORT CLIENT (..,lflb D Ld& i> DATE 'f-Z-f5 Architect ,t/o le Contractor 6t:fZZ...&'l"ltLb$ INSPECTION _OSHPD _OSA ~Specialty __ Mechanical __ Electrical __ Roofing -5-Concrete __ Masonry __ Struct Steel __ Prestress Cone __ Pile Driving __ Fireproofing __ Waterproofing __ Non-Destructive __ Soils Technician __ Batch Plant __ Bolt Pull-Out REMARKS MAT'L SAMPLING QTY ___ Concrete Cylinders __ Cement --__ Mortar Samples --___ Grout Samples -- __ Masonry Prisms --__ Masonry Block --__ Fireproofing --· __ Units (block or brick) --___ Asphalt Concrete --_._Roofing --__ Reinf. Steel --__ Steel --__ H.S. Bolts --__ Tendon (PT Strands) --_._Other --__ Other ---__ Other -- PROJECT (Name) L::ubo <-t1:lt.(l> (Address) Cd: t2-l:s'?v1 b Cd, __ /4:2 REPORT NO. 0s<1-702,og., 7'" ._, Building Permit No. ~ <'/ 7 ~ '32 so Plan File No, ___________________ _ Govt. Contract No,-------'----------'----- OSA or OSHPD #------------- Other£-#:c-zr2a?Y ¥"Ms tA,,J 1 :SL.&&J> iJ-&1 t;>(>c MATERIAL DESCRIPTION INSPECTION CHECKLIST 1!.::.. Rinf.:Rebar lit'2i~~ G,t..~O ~ Plan & Specs _ Rinf.: W.W.F. . . --".::_ Clearances -: Rinf,: Tendons _ k-Positions ___ Cone.: Mix #/psi ·:k'-Sizes _ Cone.: Mix #/psi ~Laps _ Cone.: Mix #/psi _ Future Continuity #/psi _ Grout: Mix #/psi_ __ Consolidation _ Mortar: Type/psi _ Mortar Batching __ Units: Block _ Electrode Storage. _ Units: 13rick ___ Torque Applied _Steel _H.S.Bolts _ Metal Decking . _ Electrodes ___ Fireproofing __ _ Other _ Corrsctive action required __ _ Corrections completed .,_ -> j>c.A/VS :5H:m-s ~ Z.. 0 0 j sf S 1/ 0 -]>TL -'-I c 16' ...Vt:,Z- CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise noted, substantially complies with approved plans specifications and applicable sections of the building codes. This report covers the locations of the-work inspected only and does not constitute engineering opin- ion or project control. INSPECTOR NAME _°J2..,.,,::.J,iii~~=--i=--?.____J3.._...m......_ .... iflL.!...-.· .... ~...,.....N-= (Print Clearly) ~ INSPECTOR SIGNATURE_:c:> __ '""-_.d-'--_7?-+_ ---'-' ____ J2_ ..... _ L ..... >-c...· _- CERT. NO. e>e,~c,c:-, 'f!:>1 ... ee PSI-B-900-170(2) l 1 Environmental I Geotechn~cal Page_1_Qf~ · "Construction Consulting • Engineering • Testing INSPECTION REPORT CLIENT L(o.,a Y&D DATE ¥.t...~ eJS "' Architect J.lot_c Engineer /JJ,4-,a Thv d D(d.6t_N Contractor. 5e:72.A.Jffl2..t>5 ' is&Q nr<.:f>C-S. INSPECTION MAT'LSAMPLING QTY _QSHPD ~ Concrete Cylinders ~ _OSA ___ Cement .l!S:_Specialty ____ Mortar Samples --·- __ Mechanical __ Grout Samples --·-__ Electrical __ Masonry Prisms --__ Roofing ___ Masonry Block ____ , ..K.concrete __ Fireproofing __ Masonry __ Units (block or brick) --__ Struct Steel _-_ Asphalt Concrete· -- __ Prestress Cone __ Booting --__ Pile Driving __ Reinf. Steel -- __ Fireproofing __ Steel --· __ Waterproofing ___ H.S. Bolt~ -- __ Non-Destructive __ Tendon (PT StrMds) -- __ Soils Technician ___ Other -- __ Batch Plant _____ Other -- __ Bolt Pull-Out __ Other -- REMARKS PROJECT (Name) ?<:l7i;o ufA-1µ (Address) 6414-6 @A-t> CA, " ,...,_-!,,, REPORT NO. as~~Zc:?20~ ~>}~ Buildlftg Permit No. ,,,. 2 z:.s52.so '" Plan File No. Govt. Contraqt No; QSA or OSHPD # Other LJl6oolV /'l?A{A-) l~LAA,I~. · ~.112J~66~ MATERIAL DESCRIPTION INSPECTION CHECKLIST ..1L. Rinf.: Rebar 4YS -tl,,e.. (:, D . 2S::. Plan & Specs _ Rinf.: W.W.F. ~ Clearances _ Rinf.: Tendons ~ Positions >(' Cone.: Mix #/psi 11/AS,.. '.S"t'tX.?. >c-Sizes _ Cone;: Mix #/psi ~Laps _ ___ Cone.:· Mix #/psi _ Future Continuity #/psi ,--Grout: Mix #/psi >< Consolidation _ Mortar: Type/psi ·__ Mortar Batching __ Units: Block _ Electrode.Storage __ _. Units: Brick _ Torque Applied __ Steel _H.S.Bolts _ Metal Decking, __ Electrqdes _, Fireproofing __ _ Other _ Corrective action required __ __ Corrections completed Seta_i,4-(.,. IN$ f?£,lC--T7CJA1 ?: 4--t) VI I:> ¢0";:. ' £;:,a,' 'n,d:: P, A-< cnn t:l?Yt Of? 'i?-rf1,Vr-QTZ..LJN l-. · !SZ:U:Z;t7 Ar ·72-1:c.r: I. 4 {'., CU!?tU 076:UY IS~ S;_Ni::> LA'C7Q04, i3g1L:>e. ta "Dax,k:. ll e1 e.eo1t..1s • R.tf?.rt.1£:0,eLdnz tffl...<T wl"l:S -CH<-&K--lfZ:> _ PQI(. Ps1..aPtf11-.. M,g. s12,A'" 7 I t'-.12.4 D c..r • . l A:P-·s f><.ct c.(:[S ;I ~,q,1:..1u5 ' ;, A-tvl> "U(;;VZ..riLL i::::.., A (:...l.fm_ cal'>:;LCT A-u O/Ll>ll\J4· ,z::z:,_ Tfft,C /?tUJ i::Tf:fCT_ />tf"U..,5 .5,Ll@TS -S'Z..CPO ) ti $110 -j)n,,-1 d'-1. ' t'..n '-?D!-ACJ32 t'!., '?c....~'--U--0 e,oA.JLJLu:,-tr """''"" -IY S 13 -~ooo PU A-T' u:2c::,4:D P lY IUOJ31"1=>, aascnz..vG'b .....yo tU\ n:;,4 ~ dN3> -re,:;,.~ ~ ~ut..1, 1 re:. I:2~~! iu'-~!..d ~-~ C: "'-e~c. s~_ ~k: (~~ ~'r'L. e.2,-.l!l..£. CA-~ r .. CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise noted, substantially complies with approved plans, specifications and applicable sections of the building codes. This-report covers the locations of the work inspected only and does not constitute engineering opin- ion or project control. INSPECTOR NAMF -:Dc::Dt-:tO<-. ? i>~-CERT. NO. ~~9e,-es. (Print Clearly) ?~ INSPECTOR SIGNATUREV~:? PATE ...., ""''-'i '8 .. •• .;:,<--~- PSI-B-900-170(2) ~ - CLIENT /..01'-P L!'lt"CD DATE Y-2--2 d INSPECTION REPORT Page_1_. of ...J- PROJECT (Name) 1, lU, a l d ,,.vl;> . . (Address) t!Atw s 13:d 4 · 44. 7E <'. REPORT NO. os9--,.52z..o fa« -7'75_;:;:-- Architect /.I 01c Building ,Permit No .... #:~· __._9....r;2;...-_3--=2-'""'5""'o'------------,----- Plan File No·---------,---'------------ Govt. Contract No.-~-----,-'---------------- OSA or OSHPD #--,,--,,--,,--,,--,,--,,-__ -,-____ _ Contractor. 6,-nz.--,vA t2--t> s Other ·t-AC:zaa& rnt9 uY 1s«ev1.d:>. ,-::v--, ;::>c,f.r INSPECTION MAT'L SAMPLING 'ciTY MATERIAL DESCRIPTION· INSPECTION CHECKLIST __ OSHPD _. _Concrete Cylinders --~ Rinf.: Rebar AC:.1"5 . .[p,g., &o ~ Plan & Specs _OSA __ ·ce~ent --·_ Rinf.: W.W.F. 2:::.. Clearances ~Specialty __ Mortar Samples --__ Rinf.: Tendons -~ Positions __ Mechanical ___ Grout Samples --_. _ Cone.: Mix #/psi >-Sizes __ Electrical __ Masonry Prisms ___ Cone.: Mix #/psi .2...Laps __ Roofing __ Masonry Block __ Cone.: Mix #/~si _ Future Continuity #/psi 7""' concrete . __ Firep.roofing --__ Grout Mix #/psi _ Consolidation __ Masonry -.-Units (block or brick) --·-_. _ Mortar_: Type/psi _ Mortar Batching __ Struct Steel __ Asphalt Concrete --__ Units: Block Electrode Storage __ Prestress Cone _-_Roofing --__ Units: Brick . -_ Torque Applied __ Pile Driving _. _ Reinf. Steel ---__ Steel __ Fireproofing __ Steel --·--_._ H.S. Bolts __ Waterproofing ___ H.S. Bolts ----__ Metal Decking l __ Non-Destructive _. _Tendon (PT Strands) --___ Electrodes __ Soils Technician __ Other --__ Fireproofing . __ Batch Plant _-_Other. -__ Other _ Corrective action required __ __ Bolt Pull-Out __ Other --__ Corrections completed REMARKS SR~£t!!l. '== t.A./S. e,.:n::: r'7v6,,!. 'PA--0 r..l' l ~ ,..re s::1/.)~ ~<.f':" P<-ci:.·"'-c/"'n,-7 ~ t=. . oc. /2(-,7/Vf-o&-C ilY (;;, ,S ~ Mr: --r:-ff(-C < A C?ac:?,;.._; aa & 16-:' l:S< d6<D B g., ;;:, ~ c-r: @&as t'lZ: 2:>B'Z,1£, K.tnµ{-a4< J ,vb sum,. Wd-5 -Cfl:UZ-141:...-.0 ~a-i?lt.QPG'Jf--io;gtL St'Z.d"': • /':..JLA..t::>, t.r J L.4P Sf>L1t;,p ' Cc< <ef'?:lt1dft:A.&_,t,,S"'$,,1 / > > A-rVb OVc;D"z...d-L '--j>~;g < c.'i::'?:1:1 (i:OV;C A.c_,:.,2 rz.....T;;aN'l.,, :re TT/D~ Pt?0:77::rC.r P'-'41vS 5 ffl:aTT: 5 z..oo .... DD--S -. 51 G,:1 eJ: 7 , d s no -DTl--4. . - ,..::::" " lvOIZ..!L Penz-v<,..#--1A.J$ ~ n CJ) t-"T'"IZ.-A C. rt,(L -r,:, P<-AC...G-O&l.tvC..12.-1::-rc:r 19-r ,:,. L4'7"'l,""YZ... n>e nr. CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise noted, substantially complies with.approved plans, specifications and applicable sections of the building codes. This report covers-the locations of the work inspected only and does not constitute engineering opin- ion or project control. INSPECTOR NAME~ ? 7 ~o...i.::::, CERT. NO. oeeo=r e>1-e.~ (Print Clearly) INSPECTOR SIGNATURE -p.,)\ p :c4, PATE Y~'7-c:;~ ... .. ; . PSI-B-900-170(2) I Ii -, Emnronmental ·DSI Geote(:hn~cal •-.. Construction Page_1_of_1_ Consulting • Engineering • Testing INSPECTION REPORT PROJECT(Name) /4e,r,tJ/J /' CLIENT_-"-k___..,7f-lP ___ _ DATE _ _._7_-Z ___ /_-_7_1 __ _ (Address) -A Gzls,3~ c..;. REPORT NO. __ --L.7_,,6~2.=o...,.z.=---·-----'-~-'-·r: ..... J~=--</ _ __._ Building Permit No. ___ ,,__,_7 __ ~_z..----'-s_:-o _____ _ Architect __ ~h~~=0 ..... ~...-a------------'-- Engineer _ __,/1Z'--...... ~'-'-.... e"'"'"i....__)_../-----..~-_..._,+'-'-l2"""t'-'-'/-=0=-· ---,- Plan File No, ________________ _ Govt.-Contract No. ______________ _ Contractor ____ =a~-.,,._..,.73......-:c~C..,.....--'---------.,..-OSAo~D# _· Other~~ INSPECTION __ QSHPD _OSA __ specialty __ Mechanical __ Electrical __ Roofing __ concrete __ Masonry __ Struct Steel __ Prestress Cone __ Pile Driving __ Fireproofing __ waterproofing __ Non-Destructive __ Soils Technician -.J3atch Plant _ ,/_ R Bolt Pull-Out REMARKS MAT'L SAMPLING __ Concrete Cylinders __ Cement __ Mortar Samples __ Grout Samplei; __ Masonry Prisms· __ Masonry Block __ Fireproofing __ Units (block or brick) __ Asphalt Concrete __ Roofing __ Reinf. Steel __ Steel __ H.S. Bolts __ Tendon (PT Strands) __ Other __ Other ____ _ __ .Other ____ _ QTY MATERIAL DESCRIPJION INSPECTION CHECKLIST __ . /Rinf.: Rebarlb:U'1"-~fr-(.,6 ___ Plan & Specs ______ , __ . _._ Rinf.: W.W.F. _______ Clearances _____ _ ____ Rinf.: Tendons ________ Positions ________ 1 __ , _ Cone.: Mix#/psi ______ Sizes _______ _ ____ Cone.: Mix#/psi ______ Laps _______ _ ____ Cone.: Mix #/psi ___ ---'-__ Future Continuity #/psi, __ _ _. __ Grout: Mix#/psi ______ Consolidation _____ _ __ . _ Mortar: Type/psi ___ ..,..... __ Mortar Batching ____ _ ____ Units: Block _______ Electrode Storage ____ _ ____ Units: Brick. _ Torque Applied ____ _ ____ Ste€ll...,_-~------ --_ H.S .. Bolts ______ _ ____ . Metal Decking _____ _ _. _· ___ Electrodes __ '------ -· __ Fireproo ·ng_--,f-?<---::±.~ . .,,,,.-;. _ ___ Other-.l...ol=k!!::t-J.~l:J=:l!..:e~~-Corrective action required __ --:. 1,;,r.~1-'---...._ __ _.,......_..,,,,Fl_ Corrections completed __ _ / CERTIFICATION O MPLIANCE: Tot e best of our knowledge, all of the repo·rted work, unless· otherwise noted, substantially complies with approved plans, specifications and applicable sections of the building codef?. This report covers the locations of the work'inspected only and does not constitute engineering opin- ion or project control. GERT. NO. °IS: 3 CJ? DATE __ .L..7_-.;::_z_,;.,_/_-...J.'7_,.? _______ _ PSI-B-900-170{2) ENGINEERiNG DEPARTMl;NT FEE CALCULATION WORKSHEET . D ~ Estimate based on unconfirmed ·information from applicant. Calculation based on building plancheck plan submittal. Address: L~/4..£ Lt;Y~ a&. 'Bldg. Permit No. C.6. o/ 7~ z.oz.? Prepared by: L21,_ Date: 1213/22 Checked by: Date: ~ I ; ---------------- EDU CALCULATIONS: List types and square footages for all uses. Types of Use: w~ Sq. Ft./Units:__,.....--,----EOU's: /1,t3G ADT CALCULATIONS: ~ist types and square footi;iges for all uses. Types of Use: /.e,,~~ Sq. Ft./Units: -------~--ADT's: 44Z. FEES REQUIRED: WITHIN CFD: DYES (no bridge & thoroughfare fee, reduced Traffic Impact Fee) D 1. PARK-IN-LIEU FEE PARK AREA:. ------ FEE/UNIT: __ --,-__ X . NO. UNITS: ----.......... .}:&(2. TRAFFIC IMPACT FE;E FEE/AD~t: ,__ X ADT's/UNITS: 4 if Z--.. }ff 3. BRIDGE AND THOROUGHFARE FE~ ADT's/UNITS"·----------.X FEE/ADT~-~ p(_ 4. FACILITIES MANAGEMENT FEE ZONE: /3 · . UNIT/SO.FT.:. X . FEE/SQ.FT./UN~~ /J'!(_ 5. SEWER FEE PERMIT No. ____ _ EDU's: /9,e(p X FEE/Eouf/~;o - BENEFIT AREA: ________ DRAINAGE BASIN: __ __ A ,j/Jl EDU's: .. X FEE/EDU:. 17f1 6. DRAINAGE FEES Pl,.bA HIGH __ -/LOW __ _ ACRES: X FEE/AC: _____ _ I/If 7. SEWER LATERAL ($2,500} . ONO =$ ______ _ =$ __ .. ____ _ :::;$_· ____ _ ::::$ =$ __ . ____ ___ = $ ________ ,,.... =$ _____ _ TOTAL OF ABOVE FEES*:$ ------ *NOTE: This calculation sheet is NOT a complete list.of all fees which may be due. Dedications and Improvements may. al~o be .required with ~uilding Permits. P:IDOCS\MISFORMSIFEE CALCULATION WORKSHEET REV 01/28/97 ;.. ~ ~ ........ '• .. \r,a ~n,1 ~ CITY OF CARLSBAD COMM DE \ rr:r'f:A.RLSBAD U . &;J Cd.RLsB,1n lf~:IED SCHOOL DISTJ?.t o. VALLEY JUN10 SClfooL CT RecE,VED FROM IJ? llIGlf scHoi FOR· II Ll~~~-1~hJ:r:: use ~ · ..___... I'. 1' .. G-0 4 51 7 F SCHOOL F c::;jyi LAL ~ ACJLJTJES!RENT DATE $/ . use OF SCHo ALS s OL Bus ----. . DAMAGE TO SCH $ ~RE/MBURSEME OOL PROPERTY ----. . .$ DAMAGED OR $ . • . ~ SAL LOST BOOKS ----. $ ~ "O{; Pn E OF SURPL $ ~-. · -~ v us ----. . ---. $' FAX NO. 4380894 RECEIPT NO. P. 13 t that the project projects shal I be ~d ~o the City of $ . . INSURANCE ---- INCOME~ . ----TELEPHONE $ · . fied --fC/BA TEMENT Q . COMMiSS/ONs $ ----I d AccouNT N . ..q,.-<?7 Pl_ . ~ I Marcos 8 v _ ACCOUNT No. __ ~-~-.c2tl_ ~Gt) TOTAL $~07_@ , 92024 (744-4776: ACCOUNT No. - --------------Hi-Jtp~ Jnion High School ---------CHecKr?i·' Boulevard l:nc11111 .... ~ _ ---· :..JQJ.._, /92024 (753-6491) --~ Project Applicant: Lt::6-0t...tt~.f> ES Tff\t:~ nv Project Address: 1. · Lt; t..o Q q...1,11.-. - RESIDENTIAL: SQ. FT. of living area ____ _ SQ. FT. of covered area _____ ___ SQ. FT. o( garage area ______ _ COMMERC!AUINDUSTRIAt: -SQ. ~T. AREA a, G,8(; Prepared by .... ------------------------Date ---,--,---------- FEE CERTIFICATION (To be· c6mpleted by the School District) · j_ Applicam has compli~d with fee requirem_ent under Government Code 53080 __ Project is subject to an existing fee agreement __ Project is exempt from Government Code 53080 __ Final Map approval and construction started before September 1, 1986. · {other schoot · fees paid) __ Other ____ _..;_ _____ --"-------------------------- Residential Fee Levied: $ _______ based on -a.----------sq. ft 'I'@ ___ ___, ____ _ Comrn/lndust Fee Levi~d: $ :2(QOS'.%"b based on 15(,p cg--~ sq. ft. @ __ 3_0_:f,,__· __ f L .i.J (J I) A l H. Blair s:J'~ I~ eu=s:. ft/ts,tf'f7 Sch?o,District Official · · Title· Date .. "" .. ,. .. ,·:...,......,