HomeMy WebLinkAbout1530 Magnolia Ave; ; 77-5257; PermitJt
MODEL NO, _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permil No.
JOB ,t.00,a, £~ 5 ASSESSOR 'S
PARCEL NUMBER
L (CAL I 1 0~5CR.
1.0T ,..0, TRACT BOOK PAGE I PAR, tOscc ATTAC'-4£.D 5Ht:£TI
OWNC" MAIL AO0Rt!IS
2 .. :,, ,/3
COHT,.AC TO ft . , MAIL •DDAESS , CITY LIC. HO.
3 ... ~ .,, ·-'--IA .. /u,.. .1,. / Ju'-_,!,uA,,,. I~ ---
AIIIIICMI TCCT 01111 0 [51CNCIIII MA IL A.OOA£55 . PHON£ l.l ([NSE NO,
4
[.NG 11\l([ft ; PH0N[ -l..lC[NSC NO,
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COMPENSATION INS,
6
CARRIER~r M&IU 40D~C6S.~..C,. , ~
,} •--~~._,_ -~ ·:,, I' h
_, ~ ;/,, :I~ IIUlANtJ-4 " 71 r ---,, •• 1.-t I D
VSE 0,. llltJI LDING
7 /,., a NO. BORMS NO. B.6nTHS
,
8 Class of work: □NEW 0 AOOITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE J
9 Describe work :
" -;
10 Change of use from r I , ,,
L
Change of use to
11 Valuation of work : $ __;, I. ) '{{,'-PLAN CH ECK FEE $
, " I PERMIT FEE$
t-S_P_E_C_I_A_L_C_O_N_O_IT_I_O_N_S ____________________ ➔ Type of I Occupancy
Group
MICRO FILM FEE
I Const
Si,e of Bldg ft"'O/_ No 01
(Total) Sq. Ft ; ;:)OJ::) Stories
Mal<
0cc Load
Fire Sprinklers 1--------------,-----,------------,------'-----1 Fire ::~:no"""''"" ... ~ '""""' :·:::·'" ;i1""''"' ;~_;,:,,, u ""' use
zone Required 0Yes DNo
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB
ING. HEATING. VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT. THE GRANTING OF A PERMIT OOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER S'l ATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
I -. ' IDATtl
SIGNATIJ fl:t 0" 0'W)r,j£fl (lir" OWN[,t eun .. OC"J IOAT[}
OFFSTREET PARKING SPACES
~g~ered SQ. Ft. ~/;8 l~gen
Special Approvals Required Received Not Required
PLANN ING DEPT.
HEALTH OEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
tNGINEERING DEPT
WATER DEPT.
_l\., -.
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION CK. M.0. CASH
TOTAL FEES$ ________ _
INSPECTOR
INSPECTION RECORD
D-'TE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL 5-c/t/-/2 r ~ r-
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
,,.
BEOU'EST INSPECTION TIME: e/1,
1 DATE: -5 -J ?-?L -------
OWNER ________ -l--------:---f->....,..,.;,,,,,..-=-..:c.....:,""""""=--..,._,_--=----,.,"'------------
ADDRESS-.1--/j.:::.....;3=--=----l)---U-h -l-~)~~~~~::::___------
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT · GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMB I NG
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY
D A.M.
DP.M.
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
0 GRADING
D DRIVEWAY
0 CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
EDNESDAY □THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS __ --.--,-------------------------
REQUESTED BY ____ i-..J,/--.;__-...,,q...-"----'-""-----PHONE NO·----==---+---
PERSON TAKING REPORT _______ _
0 le 7 0 'I~ ew!-
~~µye,/~ 7L
~1
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' I S-1 o -l ~ 2 t>-J s--7 11
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To ✓'1 Ef Date ~' 4-7L
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([) C> <it.JJ..t'Te~ f?€ee,P7:I c£ r '() }.I
I~ 2 ;;J /?€(,jvt,irn
(i) M /J T € t2. 1-/ £ /.l r If /l VE u '.7-1 k EE P
C () I( /?Jf t:f t F; n lit C JJ IJA flF(L
(j} R1 }i l o lt 1 A LI &-• ,c_ .T, I) Iv P J
DUPLICATE Signed __j;
Date
R•dif/""
4S 465
Poly Pok 150 ,et,I 4P465
Signed
SEND PARTS 1 AND 3 WITH CARBONS INTACT.
PART 3 WILL BE RETURNED WITH REPLY.
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces on y. Phone 729-1181 Permi t No.
JO& ADOR ESS
LEG.AL I LOT NO. t C<SC".
r L• 1 HACT
2ow~/4 -
CONTflACTOl'II ' f ---, MA Ii.. ADORE.55 3 , ,. . .,h,,tc ~ 1-, (. {'!~7 .r-f:,,_.•~~"''
AA(HI T [CT OA OE:!lilGNE:R M A
0
1~0R(5S
4
ENG IN EE.A MAIL AOOR[SS
5
COMP EN SAT ION fNS, CARRIER MA.IL AOOfllESS
6
USE OF' &UILOI NC
7
8 Class of work: \2rNEW 0 ADDITION 0 ALTERATION
9 Describe work:
SPECIAL CONDITIONS :
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FO~ ISSUANCE SY
/ "
-· ----DATE
NOTI CE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PER IOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO K N OW THE SAME TO SE TRUE ANO CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERM IT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION q_R THE PERFORMANCE OF CONSTRUCTION.
PHONE
PMON E L.ICEl"fSE. ""0•
PMON[ LICEJrr,jS[ NO.
~-,-
I
0 REPAIR
PERMIT FEES
No. Type of Fixture or Item
L WATER CLOSET (TOILET)
l BATHTUB :...t. LAVATORY (WASH BASI N )
/ SHOWER
/ K ITCHEN SINK & O ISP.
/ D ISHWASHER
LAUN DRY TRAY
f CLOTHES WASHER
/ WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR-SINK OR DRAIN
SLOP S INK
I GASSYSTEMS NO.OUTLETS ~
WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
I SEWER NUMBER CLEANOUTS
CESSPOOL
I *
Fee
$
J
_/
--~..!-~/ $1GNATL,1AE qJ~CONTAACTOJIII OA AUTHORIZE D AGE.MT
6 -tf-?? ____ R_o_o_F_D_R_A_I_N_S ________________ +----1
(DATE I
SEPTIC TANK & PIT
ISSUANCE F'EE $ I ) t-----------------------+---+---1
StGNATURE Or OWN[Ai (II" OWtH.A I U ILDEAJ IOATt I TOTAL FEES $
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS VOUR PERMIT
PLAN CHECK VAL IDAT ION CK. M.O. CASH PERMIT VALIDATION CK. M.0 . CASH
INSPECTOR:
ELECTRICAL PERMIT APPLICATIGN
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Perm it No. 77 7
J OB AOOR l:SS
• BL~ TJIAC T t0scc. ATTACHE:0 SHEET)
OWN u, MA IL. .a.oo,u:ss ZIP PM0H£
2
COHT~ACTO .. L.ICEN9£ NO. ST ATE CITY
4
E.NG IHE.tfll MAIL ADD,. ESS PHONE LICENSE NO.
5
COMPEN SATION INS. CARRIER MAIL ADO .. £.SS 81U,NCH
6
7
8 Class of work: 0 ADDITION □ ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
SPEC IAL CONDITIONS:
APl'LICATION ACCEPTED av , PLANS CHECKED BY APPROVED FOR ISSUANCE av
DATE
NOTIC E
THIS PE RMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC•
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAY~ AT ANY TIME AFTER WORK IS COM
MENCED.
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCE~ GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
1, OWNIUI 9U LO~'-DATE
ISSUANCE OF EACH PERMIT
NEW CON STRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INC:REASE
.IN MAIN SERVICE, SWITCH, FUSE
OR BREAKER
REMODEL, ALTERATION, NO CHANGE
IN SERVICE, FOR EA. AMPERE OF
INCREASE
TEMP. SERVICE UP TO ANO INCLUD-
ING 200 AMP.
TEMP. SERVICE OVER 200 AMP.
PER 100
PERMIT FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE I THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK.
INSPECTOR
No.
M.O.
Each Fee
CASH
MECHANICAL PERMIT APPLICATION _
city of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29· 1181 Permit No
Joa •oo,i 1ts.s
4n -
I.OT NO , Im I TaACT tOsct ATTACHED SHEET) LCGAL I 1 ouc~.
0WN£fl MAIL ADOA[5S Z,P PHONE
2 . re .... ,,-:-,e;/o B..:.i l.:1'~--: ,1 ,.71'1~. lhc •. ·,.L ~t:a l1a.Y. )_")c I 1:-1-
CON T,u,c TOlit MAIL ADOA[SS PHONE STATE I.IC. NO. CITY LIC. NO.
3 •'I !i 7-~:i"i: I I! ... • .x:~ i2so 0 'SIIJB 75~~f720 l"J'-1fi' L:7_...:1 .
AIIICHITCCT Oft OIESIGNE,. MA.IL A00,t£55 PHONE LICENSE NO.
4
£NGJJUC&a cf-MAIL AD9111E5S PHONE LICENSE; NO.
5 ~7_,,,}
\.
LIN 0 UI ' MAIL AODIIIESS BJIANCH
6 ) t• r.;?St Bank w...!!!:e. ~-,I 'LL-"-
US[ or I UILDIN(i.
7
8 Class of work: □~EW 0 ADDITION 0 Al TERATION □ REPAIR ;
-. ., -,_ . -9 Describe work: . -
Type of Fuel: Oil □ Nat. Gas D LPG. 0
PERMIT FEES
SPECIAL CONDITIONS. No. Type of Equipment Fee
Air Cond. Units-H.P. Ea. $
Refrigeration Units-H.P. Ea.
Boilers-H.P. Ea.
Gas Fired A.C. Units-Tonnage Ea.
l Forced Air Systems-8.T.U. 00 M Ea. I
APPLICATION ACCEPTED BY PLANS CHECKED ev APPROVEO FOR ISSUANCE ev Gravity Systems-8.T.U. M Ea.
/ _},,/'
floor Furnaces-B.T.U. M
Wall Heater,-B.T.U. M
NOTICE Unit He&ters-B.T.U. M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC• Evaporative Coolers
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,OR IF Clothes Dryers CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM• Ventilation Fan
MENCED. Range Hood I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED Incinerator HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
,
SIGHATV"-~ or CONTIIIIAC TO,t 0111 AUTHOIIUZ£D AGl:NT (OAT£)
ISSUANCE FEE s
~ GNAT JIU. 0,-OWNE"-11,. OWNI." BUILDl:1111) (OAT£1 TOTAL FEES s
WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
7-2-
APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM
CITY OF CARLSBAD
ENGINEERING DEPARTMENT
729-1181 EXT.35
FOR APPLICANT TO FI LL IN
BUILDING
ADDRESS
OWNER
MAI LING
ADDRESS
CONTRACTOR
CONTRACTOR"S
ADDRESS
NEW BUILDING
LEGAL DESCRIPTION
EXISTING BUILDING
LATERAL LOCATION
ST.
I
~ (J)
LATERAL NO. _______ INSTALLATION DATE----------11
BUILDING DEPT.
ISSUED BY ___ r ______________ _
DATE ISSUED _ _L..__c....__:;__ __________ _
VALIDATION
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 30", V. 10') _________ _
OVER 30' H. ___ @.,,,,_· ___ FT. _________ _
OVER 10' V . @ FT. _________ _
STANDARD 6" (Max. H. 30', V. 10') _________ _
OVER 30' H. ___ @,~ ___ FT. _________ _
OVER 10' V. ___ @ ___ FT.----------
TOTAL CONSTRUCTION COST
SERVICE CHARGE (REPAVING ETC.)
TOTAL LATERAL CHARGE
LINE COST DATA
ASSESSMENT DIST. NO.
FRONTAGE COST PER FT. TOTAL
OTHER
CONNECTION FEE
NO. UNITS I COST PER UNIT TOTAL
PUMP STATION FEES
NO. UNITS COST PER UNIT TOTAL
TOTAL CHARGES (LATERAL ETC.l-----,,1,,,---------
£0f RECTION LIST
• • ' 1 .,
CITY OF CARLSBAD
(714) 729-1181
BUILDING DEPARTMENT 77~,q
SINGLE FAMILY AND MULTIPLE FAMILY RESIDENTIAL ? 7-'l_f/.
PLAN CHECK FEE S: WHERE NO ACTION IS TAKEN BY THE APPLICANT / * _WARNING:
IN 120 DAYS, AND NO BUILDING PERMIT IS.ISSUED, ALL. PLAN ·CHECK
FEES ARE FORFEITED TO THE CITY.
OCCUPANCY ________ TYPE OF CONSTRUCTION _______ VALUATION ______ _
BASIC ALLOWABLE BLDG. AREA 1st Floor ______ 2nd Floor ___________ _
~ 3rd Floor ______ 4th Floor ~ ------
ALLOWABLE INCREASE DUE TO 14. CARRY ----~R FIDM _____ _
REQUIRED PLANS
UNDER SIDEWALK THROUGH CURB IN'ID STREET
WITH CAST IIDN PIPE.
. 15. P~DE GINEERING CALCULATIONS FOR __
P!..OT PLAN R" DET1\ILS / FOUNDATION PIAN OCTURAL DErAIIS 4 S'd :.&..S /
FI.CX)R PLAN ELEVATION PLANS.......----. . PROVIDE ENGINEER' S~~Rl'.
GENERAL FRAMING • R(X)F PIAN ~~n:;i~ ING PERMIT REQUIRED.
9. INDEX SHEET l. FIRE DEPT. AP]?IDVAL RE)'.JUIRED •
...I ICMI' ~ A _ 19 SPECIFY CDNCRETE MIX @ 2000 P. S. I. MINIMUM.
1-M. ~3$ :t,L~ 4#~ 20: DIMENSION FOOI'ING SIZES AND CLEARANCE
1~~-JRRECT PLAN~ CDRRECTION HAS BEEN FroM GRADE.
RCLED. FIAG O'.)RRECTICNS SHOW DEPTH OF FOOI'INGS BEIDW NATURAL OR
• INCOMPLETE, INDEFINITE O ED DRAWIN UNDISTURBED GRADE.
OR CALCUIATI ONS Nor AOCEPTABLE. """IMf,l,C.tiC,jV,,.t.er~. IlIDICATE PRESSURE TREA'IED FOUNDATICN STILL,
~ C. REX;lUIRED ENGINEER'S OR SURVEYOR'S OR EQUAL.
:S: CALCUIATICNS OR PLANS SHALL BE SIGNED 23. SHC:W FOUNDATIOO OOLT SIZE, SPACING AND
z IN INK. PENEl'AATION IN'ID CONCRETE. l/2"Xl7" for
tj D. REVERSE PLANS MAY Nor BE USED. PIDVIDE MASONRY.
l:r: CDRRECT PI.Ol' PIAN, FOUNDATION PLAN, FLCOR 24. INDICATE CLEARANCE FIDM GRADE TO B'.)TI'()M ~ PIAN AND ELEVATIONS. OF FLCX)R JOISTS AND GIRDERS.
z E. THE APPIDVAL OF PLANS AND SPECIFICATIONS 25. SHC:W PIER SIZE, SPACING AND DEPTH, INro
H .OOES Nor PERMIT THE VIOIATION OF lWY. liNDISTURBED SOIL.
M SECTION OF THE BUILDING CODE OR orHER 26. S:I-m GIRDER SIZE, SPAClNG AND DIRECTION.
~ CITY, O'.)lNI'Y OR STATE IAW. 27. SHOW ALL (X)NDITIONS OF sons REPORI' ON
Z . PLANS.
~ GENERAL 28. SHOW POSITIVE DRAINAGE JMAY FIDM FOOI'lNGS
~ ON SITE PLAN. 5" FALL IN 6 FE8I'.
1. ~m:CALET FULLY~~~I~ ~ONDRAWN 29. SPECIFY MlNIMUM 18"X24" ,AOCESS OPENJNG.
PROPERTY: IN UD 30. WHERE EXPA.l\JSIVE sons EXIST, PLANI'ERS
.2. SHOW ALL EXISTING AND PIDPOSED BUILDJNGS ADJACENT TO FOUNDATIONS ARE Nor RECDMMENDED.
ON PI.Ol' PLAN. 31. SPECIFY UNDERF'LCX)R VENTILATION EQUAL TO
2 SQUARE FEEI' FOR EACH 25 LINEAL FEET OF
3. SH)W C'ORRECT LEGAL DESCRIPTION ON PLAN. FOUNDATION PLUS ONE OPENING WITHJN 3' OF
4. SHC:W ALL OFF SI'IE IMProvEMENTS, DRIVE-EACH CDRNER.
=~~~I~~~~l'R~S, 32. STEP FroI'lNGS WHEN SI/JPE EXCEEDS 1:10.'
TREES, ETC.
5 RRECT LOI' DIMENSIONS. ~3.
IDW EXISTING AND FINISH ~l'lNES 34.
URVEY OF L01' REQUIRED •. ?rt -(.,....( • 35.
IlIDICATE ALL GRADJNG TO BE OONE.
INDICATE ELEVATIONS OF GARAGE FIOOR,
AND STREEI' AND DRIVEWAY. 36.
10~ INDIG\TE CENTERLlNE AND ECGE Pron :r..E
OF DRIVEWAY.
11. SIOPE OF DRIVEWAY Nor TO EXCEED 15%.
12. INDICATE FIJ:M LINES FOR DISPOSAL OF
SURF7\CE WA'IER.
13. LA CDSTA APProVAL REQUIRED.
13a SAN DIEOO (X)lJNTY HEALTH DEPT. APPIDVAL
REQUIRED.
13b SHOO ALL RmUIREMENTS FOR Hl'INDICAPPED.
U.B.C. SECTIOO 1711.
13c L.C.W.D. SEWER RECEIPT RmUIRED.
13d cnASl'AL APPIDVAL LETrER REQUIRED.
I
/
37.
38.
39.
40.
FRAMING
PIDVIDE TYPICAL FRAMING DETAIIS.
SPECIFY ALL LUMBER GRADES.
SPECIFY FIRE BLOCKING AT FI.CX)R, CEILING
CX)VE AND MIDHEIGHI' OF WALLS OVER 10'
IN HEIGHT.
SHOW DIAGJNAL. BRACING Kr F.ACH CDRNER ANI>
EVERY 25 FEEI' OF WALL.
CLARIFY BRACING OF WALL. -----------SH CM SIZE, DIRECTION AND SPAClNG OF
FIOOR JOISTS IN ---------ARE OVERSPANNED.
OOUBLE FIOOR JOISTS OR ---------------BFAM UNDER PARALLEL PARI'ITIONS:
SPECIFY HEADER SIZE FOR OPENINGS OVER
4' • SHOW OOUBLE HEADERS ON IID3E.
, 42-f,-i°uvJ rn·: l'Al·'J'l-:J< 'l'J.I·:~; v1iT~:T:1·: cc I LttlG
JOIS'l'S J\HD JV\t,'l'EHS J\Hl:. NTO P/\H/\LLLL.
4' o.c.
43. INDICATE MF'J.1:R sr;m, SPJ\N, SPACING
AND DIPJ~CTJON.
44. Sll0d PUPJ,INS ON EOCE l\ND INDICZ1:l'E sum. Same size as .rafters mini.mum .
45. BlV\CE: J~X)F FH/\MTNG 'IO Pl\RI'I'I'IONS.
46. INDICJ\'J'E SOL TD SI !F.J\'l'l JING l\NIJ 2x6
OH 3x4 STUDS ON FIRST FLCX)R OF 'l'llHEE
S'IOHY CON.S'J.'HUCl'lON .
4 7. Sl!OtJ SECl'ION 'l'llHOUG!l 4 8. snow PUIN'l'ER oox DBrl\l-. T-.,s---flt-,1-D_W_l_l.'l-'L-,R--
.PiroFING, SEC. 2517 C7.
51-PffiVIDE TYPICAL CHI~ DEI'l\ILS.
52-SPECIF'Y 211 MINIMUM CLFARANCE
BE'IvIBEN 0-II~T.Y AND FPJ\MING.
53. SPEC!Fy POST PROJ'ECTION \,qHEN BEA.RING
Q~ CONCR.,~E •
54. PIDVIDE PARAPEJ.' DEI'AIIS.
56~SPECIFY INSPECTION CLASS ------REQUIRED FDR -----------
58-PIDVIDE DRIP SCREED 2u BELOW MUD SILL.
59. INDICl\TE HCYl"l REQUIRED STRUCTURAL AND
MAil-.J'l'AINED . WHERE PENEI'RATIOi.'; WILL
BE MADE FDR EIECTPJC.Z\L I .MEQIA.~ICAL,
PLUMBING AND OJMMUNIO\TIONS C'ONDUITS,
PIPES AND SIMILAR SYS'IB!V'S. SECTION
301 D.
·!...:;110.v
) ,~ CJ~ J I, LNG 111-; I.< ;i l'l' --------
13.
74.
( , . . ..
SI ICJil J.J\'l'J-:JU\l, cin,;s BJU\CHJG i\'L' G/\Jl/1CJ•; l'J/\'l'E
LINI:~. · .
Sl!CM DEDIO'.)M \'lINIXW liS J::XJ.'1', SECl'J.ON U0'1.
ELE\77\'J.'JONS .
Li-!lllll~HUJC/\'.J'E l\T.i.'lC VLN'l'IJ.J\'l'ION PER Sf:X:.."JJ:ON
3205 (c) •
SJl(Jd J\LL EhVE OVEnIIl\NG.S l\ND C'ONS'J.'HOCI'ION
DE'J.'J\JJ...S. .
77-DIMENSI0:--1 CIIIMNr•:Y l lEICJ'!l; l\l.X)VE IWP.
(2' 0" ,~1JJVE H(X)F' Wl'l'IJ'iN J.O' O") •
78-INDIC.l\TE FINISII liNG Nl\TUR/\L GIW)E 'l'O
POOPERl'Y LINE:.
79 •. SllOW EX'I'ERIOR WALL FINISTIBS.
80--INDIC'\1'.C 15/t FELT OR EQUJ\.L ON EXTERIOR
Wl\LIS. .
RCX)F
81. ·NCYrE RXlP PI'ICH.
82 • nm:rcr~'I'E RCX)f'ING MA'l'ERIN.., LENGTH & WEll.'l'HER
EXPOSURE ON \·WD SHINGLES.
83. SHCY/J 'l'YPE, SIZE AND SPACING OF RCX)p
SHF..ATl !ING.
84. FI.RE RE.TARDA.~'T RCX)F REQUIRED DUE 'l'O I.D'"'J\.TION
lN FIIIB ZONE.
·, GARAGES
8 6. GAR~GES l\101' PER.'1I'ITED 'IO OI'EN INID
SLEEPING RCX):-1.
87. PROVIDE __________ SEPARNI'ION
ON ALL WALLS AND CEILINGS AT)JAClli'T TO·
LIVING QUl'JTI'ERS • ·
·88. SPECIFY -----~----IXX)R/WINIX)W
OP8-!INC :='~:\~ C:"\..D]\.GE/C.ll.P.?0?.'I' P.\1'2.".)
60. CL..l\RIFY DIMENSIONS AT________ · STAIRWAYS A:.."\ID EXITS
61~ SHCJ;il WINT.XYi,q 'l.YPE, SIZES Ai.'-1D UXATIONS.
62. LIQ-IT AND /OR VENTILATIO~ INADE)'JUATE 90. PROVIDE HANDRt\ILS AS REQUIRED IN SECTION
rn ~.305 Ci).
0./10 floor area -10 sguare feet min. · PROV!~ • _:__ IDl,11:t WI\ILS ,OOR STAIR.
except bathroom). . WELL. ~
63. -.POOVIDE . VERTICAL 93. INDICATE _________ MAXIMUM RI.SE
CLEAHANCE AND ---~-----. HORIZ0i-:JTAL CLEARANCE FOOM RANGE 'IOP
.'ID COMBUSTIBLES.
64-INDICATE ATTIC SCUI'I'LE (22"x30" MIN.)
65. PROVIDE DRI\PI' SEPARATION I-DR A'ITIC
AREZ\ IN EXCESS OF 2500 SQ, FI'.
AND MINIMUM RUN ON STAIR. -----------
95. PROVIDE BALCO\TY RAILING AT L1 2 "MINIMUM
lIBIGllT. 36" O.K. For Single Family Units.
'l
66. SEPJ\Hl\TE l\REA l3E'IWEEN DIDPPED CEILING
AND FLOOR l\OOVE TO 1000 SQ.1:-r'. MJ\ .. X.
'I VIDE TNTERMEDil\TE Rl\ILS @ 9" 0. C. OR
.,,,,.,,Mw9-1ulVl\IENr f'OR OPCN TYPE IJl\fillNY & ST.l\IH Rl\II.S.
67 _SPECIFY STl\LL Silrn-IBR MIN •. WIDrlI 30"
MINIMUM FLCDR l\I'J?J\ 900 SQ. INOIES.
68-SPECUY \vl\LL PINISII IN SI IO.vER l\.l{El\
NCYr '10 m: l\l)Vl-:T'~l•:LY AFFf.Cl'l~D DY
M)IS'l'UHE 'l'O Ci' l\l~OVE 'l'fll~ fT .CX)R, /\ND
PJ~IDE Slll\'lTEllI'fffiF rxxms.
69-W/\'l'Ell Cl"DSET J\RE.l\ MINlMUM WIUrIJ 'IO
rn~ 30" •.
70.SHO~ MATERIAL TO RE USED UNDER
TILE.
71. OPENINGS CJ:DSER 'l'lll\N -------
NDICl\'l'E 6 1 6" MINIMUM 111::J\DfroM ('J..J::J\Hl\NCE
lillOVE: ____ STl\TIWl\Y •
. SIIOW ST/\IIM/\Y L'ONE.:i'l'RUCl'l.ON Dl::l'l\ U.S.
100. OCCUPANT LQJ\D OP RIX)Uii"IBS -------EXI'l'S 1"1-nM ------101. PROVIDE LIClrl'S OVEI( S'l'/\l!M/\YS /\NP. l'lll.iLIC.
m1m.1oons.
102 C'ljQl-v Cill\NGE IN t~LOCJH LEVrL J\T DOO{<S
11 MAX. ·sec. 3303h.
\ -'lO_l_lJ_O_l_'l•-:1~-l'_Y_I_,l_N_I_·: -!~-11/\_LL_ll_L_•' _O_F____ snow 111\NDRl\IL )iB['J'P.'!IQIJJ.jQ('J ,v f)f.!"fe)!H~
--JWIR 141@lf. 1!11 t)PWl!IOU llTfJI .. Jll.:9 fl TE-11.MJNl\-lJOlJH CONSTHUC !'JON. -:c1 :c O :c " 9 u :r. .:, • TING IN l\ POST OR SAFETY T~RMIN/\L
Sec. 330!:i (i).
,J . ~· PLUMBING
103.
,. 104'.
I~DICATE LOCATION OF WATER HEATER.
SHOW TEMPERATURE AND PRESSURE RELIEF
VALVES ON WATER HEAT ERS WITH DISCHARGE
LINES TO OUTSIDE. SEC. 1007
105.
106.
107.
108.
111.
WATER HEATER NOT TO BE LOCATED IN BATHR~
OR UNDER S1AIRWAY OR LANDING.
PROVIDE . SQUARE INCH ES
OF VENTILATION AT TOP AND BOTTOM
OF WATER HEATER. . .
SHOW .WATER HEATER ON 18 INCH
PLATFORM.
PROVIDE WATER PRESSURE REGULATOR.
SECTION 1007(8).
NDICATE MATERIAL TO BE USED AND
LOCATION OF SEWER LINE. (IF V.C.P.
USE FLE9~!~~ JOINTS ONLY.)isf!· .
SHOW TWO WAY CLEAN OUT IN YARD BOX
WITH 51 OF BUILDING.
ELECTRIAL
112. PROVIDE MINUMUM 100 A~P. SERVICE.
CONDOS REQUIRE 100 AMP. PANEL
. FOR EACH UN IT.
113. SHOW METER AND PANEL LOCATION.
113a. SHOW FIRE WARNINGS SYSTEMS CENTERED
OVER STRIRS. SECTION 1310
MECHAN
INDICATE~~~~• LOCATIONS & RIGISTERS U "SIZE)
115. INDICATE HEATING EQUIPMENT IN ACCORD-
ANCE WITH CHAPTER 7 OF UNIFORM HOUSING
CODE.
116. SPECIFY HEATING, AIR CONDITIO NING
AND VENTILATING EQUIPMENT. INSTALLA-
TIONS TO COMPLY WITH THE UNIFO~ .'A .. ~~
M~CHANICAL CODE. ~~. _
CESS J F. DUCTS .
CATION G. LADDER & LIGHT
NBUSTION AI H. ENGINEER 1 S
MISCELLANEOUS ITEMS
1. BORED HOLES AND NOTCHING, SHOW DETAILS
AS PER SECTION 2518, (F), 10, 11.
2. PROVIDE SQ. ~T. AREAS OF THE FOLLOWING:
LIVI ~G 1/S t,r~
GARAGE / ~T ..,"""3 % 3
PO~CHES / '1 ~
PATIOS ------------BALCONIES -----------
G L ¢ ------------
611 INSULATION IN CEILINGS.(R-19)
OW lx_Bj..OCK E.{)R INSULATION STOP AT
VEN S.~~-
. W 411 iNSULATION IN WALLS. (R-11)
~-OW EXTERIOR DOORS WEATHERSTRIPED.
PLACE THE FOLLOWING NOTE ON PLANS ~
THESE PLANS COMPLY WITH THE
REQUIREMENTS OF THE CALIFORNIA
NOISE INSULATION STANDARDS.
SIGNED -----------
DATE -----------
TITLE -----------
F. SHOW DETAILS -OF PARTY WALL .AND FLOOR
SYSTEM AND S.T.C. OR I.C.C. RATING
OF EACH.
4. HAVE DESIGNER SIGN AND DATE PLANS.
VENTING CALSS FOR q:;n411:1~~ l~")Cl~~14,,~lllf!~ E. RETURN AIR ROOF LOADS. ~-,
117. INDICATE LOCATION & TYPE OF FIRE
DAMPERS.
ELECTRIC
1975 N.E.C.
1. GROUND-FAULT PROTECTION REQUIRED FOR
OUTDOOR AND BATHROOM RECEPTACLES 210-8.
2 AT LEAST ·ONE RECEPTCAL SHALL BE INSTALLED
TDOORS AND GARAGES. 210-25b
. RRECT ELECTRIC AS SHOWN ON FLOOR PLAN.
4. UNDERGROUND SERVICE IS REQUIRED. SHOW
ON PLANS. ~ ~?/
,
CHECKE_~IE'----'--~-r::~~--...L...+-----DATE
RECHECKED e 3a · 7Z
(DATE) 7
THE FOREGOING CORRECTIONS HAVE BEEN MADE
ANO ARE NDERSTOOD BY THE NDERS IG NED:
INTERDEPARTMENTAL INFORMATION SHEET
'EPARTMENT
CITY OF CP.RLSBAD
-·================================================:!:B~u~ildmio:1:tf::tDtl!.eP-~•arrtd:ml-l+e;lit:e:mtJ I) . 1-<,7-) l!'f\ I\
LANNING DEPARTMENT {t<-1 {)iY\ r(.!p<('l_a.
T SIZE ___ ._e:1--,,',....,.,g ___ ; _____ __._LOT WIDTH __ _..:...,h JC__ ____ ~·e'.ONE /!? --7 -
~s PROVI DED __ ---!/'---_ _.ALLOWED _ __,_/ __ PRKG. SPACES PROVI DED _ _..,,..___:_/ __ REQ. __ _
I I ') I
: COVERAGE or ALLOWED_--'-1 _1-I J'--_BLDG. HEIGHT _ __;/c....:,)tc..:::._ __ ALLOWED_'7 __ _
,NT SETBACK 2L> 1~ l DE YARD _ _,J.../__::.).:......:/:....__REAR YARD----'--=').;....:../(' ___ INTRUSIONS
........... _;..___L-_"_occuPANCY_./'--""-'---L--'--( __ DATE ) 17 '-( 1~
DRIVEWAY LOCATIONS~:;;~~~::~;~~~~~§~~~~~~Lt~i~t2_:_:_:_:_:_~
EASEMENTS a;f .t;v=:;l DRAINAGE 1 h ,,,~·~
LEGAL DESC RI PTI ON_._l?,.=;;_o,c_J/c=-e:;:..._;_/_-+--------''------=-----=-5""_Z _~_9 _ _____,(--=;v,_c;;_z_B....:..,I):....__ _______ _
ADDITIONAL COMMENTS._~ ____ ,z:;i,_e:_D __ B_1_~_(1.:_~_(;;:_p_U_iw,_-'-fL_f5_f'Q..u.., __ ;➔_~_J._.....c---_~ ______ _
c~ _ Eec/ o~ ?kp'/
ISSUE PERMIT.;;_n_;_#i_L;::__ ____ DATE '7-f-77
~ t!=c(: .lh~e; sc,ve s l"o/=>e
I
OCCUPANCY ,F_,"1/ l._ DATE 6-I .,//2
/-S ,ebcofe.g/ ~ ~Lt Ii::-'
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________________________ _
FIRE PROTECTION EQUIPMENT ___________ FIRE ALARMS ________ _
EXITS ________________________________ _
FIRE HYDRANTS ___________ _ LOCATION ____________ _
ADDITIONAL COMMENTS __________________________ _
ISSl'' _,4MIT _______ DATE ______ OCCUPANCY ______ DATE ____ _
____ SAN MARCOS ___ _
_____ OCCUPANCY ______ DATE ____ _
SENT TO ENG. DEPT. -------
·en Tl"\ 01 nr-cr-'T"'1 1nl\1r-t""\ ..,..'"' "'' -r--. n c DT
Property Development
By ·
Registered Civil Engineer
JOHN E. VERNON
2860 Calmar Drive
Escondido, Calif. 92025
(714) 745-8882
L~/1/77
nUILutRS UNLIMITi U
.51.3 Vista Way
Oceanside, California
92054
Thls 1s to certify that I h c1ve made a s-:>11s investiga tion
at 1.510, 1520, and 1.530 Magn~lia Ave. 1n the Clty of
Curlsbad, ..;A.
The soil is s11ty sA.nd of ~o~ o_11ality and 1~ n::>t detr1:11Pnt!'illy
expensi~e. Trees, r0ots and veget~ble mutter as well as the
too layer of soil W!is rem:::ived to firm mater1f1l a nd repl:iced
with C'Jm pa cted f111. Fill m·-tter1al wa s 01 ··,ced as shown on the
i:1tt ;c hed sketch and. was comp cted to at least 9oi of m:·:xlmum
dry densl ty per ASTM D1556 and D1557 {me too. A).
No unusu0.il conditions wt-re encountered which lnuld oredlude
building on the lots as gr~d~d.
--.... _ .....
Surveys -Tentative and Parcel Maps -Percolation Tests -Soil Tests and Reports
· Grading Plans -Improvement Plans -Engineering Calculations
ticJJ.c!lr-{)_ .:._.;--;,_Lw,.-·
~\.l:.l.:..=~~~·~c,1..:-.iH..-u .. b., .. :..:.ih-••· _: •. •· .~ .. :,.~~J,::.;.t.J
Cc)'"'t[ hcnti on uf ff ll Cr•11µ;..~d,111 fc..;:: Cl·.!rliu;.: 1/.,r:: hui:l.<,l'iu~d 1,y Ll
G:·~dii.~ l'Gr,111l .t.)E,11..,d hy titc l;J['-rtr-.1·.:· .ll· u;.:11
Pl-o.Jcct lo.~atlon /.};{1,r /'/.."J.!n7 £'/,_C", /!['Z..,,.O Nam(.; ,,f' 'i',!;:-,tdl\:,·•· -13~~-J ~k~I~
/'.,'.(, '1~ -• 1 T) " <li f . I lo ~ f,,:, 1.::~:(/:f ?,?no~'~::,-,JJ.-i n-:-. -~-ro-~-jc-·c-~-~-s ,-l-Pu_N/_IJ_::,~:,f i:?,~i~.-l . .,.,;c~~-ll-ot,A,,4-Ci_c;_·t--:-r-c-,~-(;-•i"'f_v_i_l_~-:·:--iZ,,_n_~-~-1-~-r-f .
An:hitoct ) who lia!i li.:e11 d.::i.;i gnnr.:!d 01, ti,.? Gr.Jding P:1..1111 ant! l',•r,dt ur. the l:,11:i11.,er 1:hu 1;1 U fun,iLI, thE: CCl, .. p .. ct:ic.,n
ra1;.;rt for ,~or 1: am:ho i·b .<cu tiy r:. 1!rod1ric pen ,dt i s ;iu.::u t,y t·11c: L! •. ,;i • ..,z L .. .a J. u~-. ._,.J :; .. ·JL.,_, __ ,;,_1 l._L..;.lL'.:i.. ....
The intent of t lLG fum.::.t is to pi·<>vi,ic in[u:-niation t o tl1e ll ~,1;.1·rL~nt o[ l .U.:.r:. ,:~. '.;o r-:· :.ii1.:._· cc.<,!it.;,::0
1o1ifn the app:n:,ve.1 G,·u cli1,,r PH.fl end ['c1,rit. 1.rri-Jr<! the (lll()5t:io n c h,,J a,: ;·r,f (:r \1, ic.:~;..Uci .• c c •. i'i(~· :·ic;. c.: riu=ntit"~
of cut «w: 'c,1· Ci ll ::z-e.:.; 5 , i t i s unJe:-:,t ood th;:;.t y->ur r,,.,p:i n!..(! i:iJ 1 i..:.1 .icr,, :.1 I y hL b:..:.:.ci or, Lr. ,.::·. L-i. :i..:..nL sur r;y
c,r-dt:t~iJ cd e.:.:-1:11.:-Jr::. quJ.r~tity ci.lrttl.J.t ioDE . lt should Lie nu-r(:;c~, h~>\-'~v ... :::1 ,,~:--_t ti,.:. l:_1 .... :..-..: ... _:.1·~ it' r-:.-::icu.l<.:·!.'i
cor~er neJ wtie:-c, ~.1are ar.:i p,1csi u le i r1fr;;>.::t i ons ..:i th resp'"c t ::o ovcr::111c1.~:1e:d r ln1.:.s, t ... :.:i·c,.::l1111t;·.-.~ of r(.:_·..:i rLd
s;;tb.::.::ks , u:.c..:a1r::c t:<!:l ruts p.Lncc :1, o.t 1-;he.:e the quar.tit)· uf fi J.l r,1..t.cvi r'it'fe;rs t;Ubc.;~:-i-.. :i.t.il ,.-:':-c· t :,:.., u.i~horizerl.
Th .; D:!')cr::c.~nt o: L. U, E ,f\. r<!:;uire!; th:it Gll filis outho!'iz.,J by r. G!'.:::in('. f'cr.:it be c:.i~ ,c.::tc<:: to c.
minlmurn n f 9,1\ of in,n:in,u:n uc>n,dt_y 1-1itlt t!1c c>·.t.:<!J1t io11 t l1at· 11•>t r,,0rc t·h ... n L~•· ":· 1m::c.11p_::·~c.t ._r,,1 u:,tccteol f'i , ,~, 11,c:y
lrn d iop-.!r.-;0:,1 "· E!' tlr>:? lun.1 \>..tr(!~\.. The 11er.<1 t:,, c:,Jmp.:i.L!l ,.1 i If I let t:::..t 1,::-c: k ,vm1,I t i1c: prc.1.:..;:t iir..i t.., ,,f ,·i,r. pr1,,;.;11t
pr<J pOa<!d l'U!li:rn • .:-::i ,in i ~ tn !111J1u-e 1·1la t fut tU'C proi.-or.,J:1 co,,,;~~·u.:tio,1 of r,.;.i111 ,.d,lt-.:iun:; c:::-L>-'irr;11i n:: f:J1>LL n-:-i.i r.i lLr
ot~::=-,s ,:i l I n.Jt r .:?rp.Li!'e that t111::c;r.p.1 ::~ed fill:: uc, rcmov".).f ur r-.:::c,01-:i::to::d, "T thct 1;.:.:t:t.:u.ive fou,.ci:..·~i u:i ,.-.:,:-:: u-.·
i n!:i ~J ~J~r!'
Con:p;ictir;n r epcn:s Hi LL not Ile arccrtcJ unle!.s this foiin i s ..:omplctecl and s5f!neu by the r c~istererl p::r,:;on.
A. COMP,\ilf\ILlTY lil'J'II GRADING Pf,'\N P.J,,'D P£Rf!IT
1.
2.
~.'as t !,P. cnmp:.cte,l flll plilced ,.mly in the approximate l oc:ntions <lr,s.i1111atr.rl on the grading
plan a s are"s to 1,~ fill.cd': .;:,, ,</o G,,..:?.,:)£1,1;<~4 p.::,..:;;v
Did the qu:::idt·y of fill muterial place<! approxim:itr.1.y confonn to the ~rudinr; plan?~
3. D,>!!o t lw t tJc: u r fill. ur LIi-, Lop ul' Cll\: appear Lo e111.:n,acl,1 wit II i II tile fH'esc:ri lit!rl sctl>ack
(1.5' :·or fill; :1.01 fo: c11ts)?
,! • \oiere the :ini r.hed fill ~ J.upcs !'ti,eper t !1an 2 horizontal to l vertica 1 ·t
,;.
5. If the f i ll rr.!lti?rial 1,1as nbtaineJ by cuts 011 the site, 1Jere the cuts ma,le iu the proper
l.occ.tion aud t " the pro per sl•)pe approximately as shoh,1 on the approved gra,Hng pum·! ..;:_...
G. 1s·ere !Jro,-: rlitchcG ,•onsrructcd appr,1ximtely as sh<>IJ!l on th,1 ~n;din::; plan?-!:.-
B. w:::A-rtON Aim At-:OUtl'f Ul' t.:0Ml'!\1:'l'10N Tf,STS
J.
3.
Hove yuu ctt:c.chet! il ~ketd1 il1 HI data s l11,._·i 11;: the L .. ,-at't VII H.nrl rc'leti, ll "I ,•v11tf 011 for a I I
co:npc:.c1·;,n1 tcCt!l? .r---r.,.--,_, _ _,,,~-.;;:;-~~._--.:~
~.'Es a c-ornpnc tion test mad,: sr, t hat there is at least nne test 1 n eo::h ·•' t:hick leno uf
cornp.1cted 11:.:iteriil l?
,\i; indkatcrl by insp0cti ,--.n:;, ,)l.l.~er,.at i ,,,i's anti c:nmpacti uu t:<.?$t reoults, 1.·ao the Ci U,
=clurlinC' th-top 1.11' . ..:,,r.,pact,•d tn Ii.I: lcHer 90''.; nf 11,n,di,mn ciry dc:nnitr'-'
c. Ol1P,LlTY ur ru..L COilPACIION OP£llAl'LON
L 1:.:.1;1 the trea to re~eiv~ :·i l : pr<)pcr l~· prr.p.s.rerl ill tc1111;:; ,11 '•rush .remnv11 .l, Ltcr.:hin~. wet,:inj!,
n.:-.no-.:.1 of noru::o:+-ct,"d fi J.l ,,r d.cliris a11.I ,el.llt.ed ite:no'!
'2. lbea the t'i!.l contain ·,J.:.,1:ri1r.entall.y expa11sivc eni I within :i' oi t'inir.h r.raJe:
3. l:CYe :,-cu «ttcched o copy of yr,ur cun·P. sho1-1ing the rcl11tie>nship bct..•een optim~ reoict:t.re
contc.:t c.r.ci c.:..:.::ir.u.n. ricns~ty'!
4. \·/er e any Ltouldcrs tJr othei· oversize (<>ver 12") parti cles pl.-v:ed in the fiJ.P
S. If your 1ano11cr to (-n ab,ivc is yes, ii-any prirtion of thiA fill not suitntle for support
of fJlTUCtl.l:'"C(..?
6. \Jere th,:re c.r.y areas on thP. sitP. that arpear<.?,I to have <,xisting fills tlwt 1,1crc not-r.e-
corup!iCtcd dLL'"irll]: the operation that is 11111:is for tl1is rcpc,i1:'t
l.t,v. 0147S
l.;J 1-'0t"".,J 1,73
Ye& ~lln
. Yes llo t_..-
Yeu l!o ~ --
Yee 1-.,,......~-,
Yeo ~ll•>
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Yes ~~o _
reo r· '.
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Yes f/1-fo
Yee llo '"_,,....
Yeo l;o
Yee Ho
, ___
ll.
1.
r.".t_1'l.CTI.C,:L .MTA
L .tc.1, }'Ol!:.: :r..::,-·cueatu1.ivc: wus on oite and nu11,hE;r ,1f houru on sl'!:c fur c;.ch dut<:, t.:.oJ n!l:~(l o,· t"..:f-!"\.!&<.:n:ct1vc::
3.
4.
____ •-_'· -·~1. /<, I //, l_ .... 1..,1 ________ /--'r.'-'!/,·? b I /),~:.._,....
/ ;,---,
Old c P.c,1:;ictc.::-c,J l.:ul!incc.r vicJ it tl1u oite chtrin:: or cuLnC']\11?11t· tt, the> c111o1pl e ho11 or th(;
1r ... dint: oi::.:.-.::c 111n'!
Dld you p:?l·fo:-;;1 c.ny t c:1ti11;_: serv:ir.co or. tl1i r:; p::-o,iect pri ur to ascc11:aini n;; that u v;. li tl
gr~r1 iri;: p.:!:n,ii t il,1 d he.:,,1 i s!:uctl f,11 th.., 110~·1::
E. AS-!:UltT n;T,i
1.
.,
I t the t'lll pl.!l.cc:nent was not in acco::-dnncp-,:it,{ tlie approved ~ratlin~ pL::n, dirl you m,t i fy
the permltcc~ 'CO nbi::.:;in e.p proval fny dc:1.vi.:tio~/fro,n 1;,;, plzn bcf ri,·E: prn.·<•cding uh·L
0Jditioi1:.l filL pL::e,,en ·: ,ji / //
/l I /1 1-' If t he c:;i,1·0,·etl gr::clin~ plr:n does no\',i:ef,),:t •che· .. 11;,t1pl lo(!utlon, ,lcptl: a 11.J type of fill,
have yon s ::.t. .. _ -=-c-~J r'o:: r e d~.: .:n<l .:~ r,::-o~·;;.l c:n i::.s!:lluiJ µl,w?
CZRT!.FlC.\T Iil~i
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