Loading...
HomeMy WebLinkAbout164 CHESTNUT AVE; ; 79-1762; PermitMODEL NO. BUILD S/!S/798igD PERMIT APPLICATION i'?o«nii UP City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 Permit NO JOB ADDR ESS LOT NO. BLK TRACT 1 DESCR. OWNER MAIL ADDRESS CONTRACTOR / MAIL ADDRESS ARCHITECT OR DESIGNER MAIL ADDRESS ENGINEER MAIL ADDRESS COMPENSATION INS. CARRIER MAIL ADDRESS USE 0 F BUILDING ~ / r^^f ^ ^\ 1 mP J*^™' Jif&rfitrf1** / t^^W' . _^r 8 Class of work: D NEW H^DDITION [^ALTERATION 9 riocrriKa tunrl/ * ^ j»Ucall ILJc WUf IV. ^X7^f jt 3 jnLaii f- .^^ X^- JM ^ j» J^ .^ ^*>&f1/brf?fr£r-& $^£S*(i& ^y-?&A 10 Change of use from Change of use to 11 Valuation of work: $ /(j£ ^f(3*T~~ '*"" SPECIAL CONDITIONS:-, ' APPLICATION ACCEPTED BY PLANS CHECKED BY APPRrfWoj»OR ISSl^ANct BY DATE ^ DATE / ^*^\ NOTICE fl/Wf' SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING. HEATING, VENTILATING OR AIR CONDITIONING. TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A MENCED. I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 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 / * L& plS*'& * f £ff IX*™^" "^ ^< «5/ *^ f j f f^ SIGNATURE OF OWNER (IF OWNER BUILDBtft) / 1/5 ATE) W\EN PROPERLY VALIDATED (IN 1 PLAN CHECK VALIDATION 'CK. M.O. CASH ASSESSOR'S PARCEL NUMBER BOOK PAGE PAR. 92&0& C?£-&#¥^ PHONE ^Sa5ATE LIC, NO. jrfX/^ITY LIC* N0" PHON E LIC ENSE NO. PHONE LICENSE NO. BRANCH NO. BDRMS / &&£j4 N0' BATHS / &%t DREPA.R D MOVJ^^Ei^^>— -^ /^ / ' '/ \ ' / i %^} (r /- '! ^i^ vfw^ /I /[' . A\/ PLAN QHECK FEE $ *4*Q ..PERMIT FEE $ (jU\ f ^^*^ ^^ \^ ____^- MICRO FILM FEE Type of y* -f ' Occupanc*^ Const, y fij Group j\ I Size of Bldg. —— ^ No. of Max. (Total) Sq. Fp y~ *— Stories Occ. Load Fire *J Use f"J "^ Fire Sprinklers Zone ^ Zone f^ ^ Required Qyes DNO OFFSTREET PARKING SPACES:No. of Dwelling Units "^ Cwered Sq. Ft. Open Special Approvals Required Received Not Required PLANNING DEPT. ${. X HEALTH DEPT. t< FIRE DEPT. W SOIL REPORT X OTHER (Specify) ENGINEERING DEPT. tt~ V WATER DEPT. ^^ *X C&&? rA*~ // ^ / M -S^^si: 'HIS SPACE) THIS IS YOUR PERMIT PERMIT VALIDATION CK. M.O. CASH T OTAL FEES S / ftJJ PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 729-1181 , Permit I JOB ADOR ESS . LEGAL1 DESCR. OWN ER 2 LOT NO. ?&&&> ft- $ BLK *«& CONTRAC TOR | 4 . S-**~«L ENGINEER 5 ^f>«^ COMPENSATION fNS. CARRIER USE 0 F 7 J U f L. D 1 N G * MAI L MAIL MAI L MAI L MAIL •w 8 Class of work: D NEW Ds^dmTION L~ TRACT ADDRESS ZIP PHONE j ADDRESS PHONE STATE L1C, NO, CITY LIC. NO. ADDRESS PHONE LICENSE NO. ADDRESS PHONE LICENSE NO. ADDRESS ~ BRANCH 31?LTERATION D REPAIR 9 Describe work: ff& &/*•&/& / &" t 7*S (/*?> *~»a*>*' SPECIAL CONDITIONS: APPLICATION ACCEPTED BY PLANS CHECKED BY .-1*' APPROVED" FOp ISSUANCE BY. i i >* . f • J'/•••"f' ^]^l,^; J>tfTE™V^.^^^.-v NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK TION AUTHORIZED IS NOT COMMENCED WITHIN CONSTRUCTION OR WORK IS SUSPENDED OR ABA PERIOD OF 120 DAYS AT ANY TIME AFTER MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EAPPLICATION AND KNOW THE SAME TO BE TRUEALL PROVISIONS OF LAWS AND ORDINANCES GCTYPE OF WORK WILL BE COMPLIED WITH WHETHEREIN OR NOT, THE GRANTING OF A PERU PRESUME TO GIVE AUTHORITY TO VIOLATE O PROVISIONS OF ANY OTHER STATE OR LOCAL LA\ CONSTRUCTION OR THE PERFORMANCE OF C SIGNATUREjOF CONTRACTOR OB^AU THOR 1 Z ED AGENT s*f/ /h i/l Js/j&&rtotsi/A fljt~~^ ^sitfy^TO HE OF OWNER (i F OR CONSTRUfc'20DAYS.Oft IF MOONED FOR A WORK IS COM- XAMINED THISAND CORRECT.JVERNING THISHER SPECIFIED/1IT DOES NOT R CANCEL THE N REGULATING ONSTRUCTION. (DATE) t£ f / f § 0#NER~BUILDER) / ftJA?f E)' f PERMIT FEES No. 1 i '/"• / Type of Fixture or Item WATER CLOSET (TOILET) BATHTUB LAVATORY (WASH BASIN) .v SHOWER KITCHEN SINK & DISP. '' DISHWASHER LAUNDRY TRAY CLOTHES WASHER WATER HEATER URINAL DRINKING FOUNTAIN FLOOR— SINK OR DRAIN SLOP SINK " GAS SYSTEMS: NO. OUTLETS WATER PIPING & TREATING EQUIP. WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER NUMBER CLEANOUTS CESSPOOL SEPTIC TANK & PIT ROOF DRAINS ISSUANCE FEE $ TOTAL FEES $ Fee $ f <9 '•*•? ' •*" !. *** I WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASHPERMIT VALIDATION CK.M.O.CASH INSPECTOR INSPECTION REPORTS DATE ITEM REMARKS INSPECTOR USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. ELECTRICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 729-1181 Permit No. _ JOB ADDRESS LEGAL 1 DESC'R. ATTACHED SHEET) 2 Tffcwj$s n MAIL ADDRESS CONTRACTOR MAIL ADDRESS STATE LIC. NO.CITY LIC. NO. ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO. MAIL ADDRESS LICENSE NO. COMPENSATION INS CARRIER MAIL ADDRESS USE OF BUILDING t -*•" X 8 Class of work: D NEW -HCoOITION G ALTERATION D REPAIR 9 Describe work: SPECIAL CONDITIONS: PERMIT FEES SWIMMING POOL WIRING, NO INCREASE IN SERVICE No. Each Fee APPLICATION ACCEPTED BY:PLANS CHECKED BY NEW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER NOTICE 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 AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND 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 PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE OR BREAKER REMODEL, ALTERATION, NO CHANGE IN SERVICE, FOR EA. AMPERE OF INCREASE TEMP. SERVICE UP TO AND INCLUD- ING 200 AMP. TEMP. SERVICE OVER 200 AMP. PER 100 SIGNATURE OF CONTRACTOR OR AOTHORjZED AGENT SIGNATURE OF OWNER (IF OWNE« BUILDER) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH INSPECTOR MECHANICAL PERMIT APPLICATION Qty of CARLSBAD, CALIFORNIA 92008 Applican t to complete numbered spaces only. P n O R 6 729-1181 Permit No. ,LEGAL IOESCH. MA I L ADDRESS CONTRACTOR Mani. ADDRESS STATE LIC. NO.CITY LlC. NO. * t MAI L ADDRESS LICENSE NO. ft MAI L ADDRESS L ICENSE NO. MAI L ADDRESS USE OF BUI LD1 N G ON D REPAIR 9 Describe work Type of Fuel: Oil D Nat. Gas D LPG. D PERMIT FEES SPECIAL CONDITIONS:No.Type of Equipment Fee AirCond. Units-H.P. Ea. Refrigeration Units-H.P. Ea. Boilers-H.P. Ea. Gas Fired A.C. Units-Tonnage Ea. Forced Air Systems—8.T.U.MEa. APPLICATION ACCEPTED BY:PLANS CHECKED BY APPROVE Of OR ISSUANCE BY"Gravity Systems—B.T.U.M Ea. Floor Furnaces—B.T.U.M Wall Heater&-B.T.U.M NOTICE IM THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRBC-^ TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.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 AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND 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 PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Unit Heaters-B.T.U.M Evaporative Coolers Clothes Dryers Ventilation Fan Range Hood Air Handling Unit—C.F.M. Incinerator SIGNATURE OF CONTRACTOR OR AUTHORIZED ISSUANCE FEE TOTAL FEES WhfEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH INSPECTOR REQUEST FOR-,INSPECTION INSPECTOR. TIME:_ PERMIT IMO..DATE:. OWNER. ADDRESS—, •CD a CH C] CD REINFORCING STEEL MASONRY GROUT -GUNITE FLOOR AND CEILING FRAME SHEATHING FRAME EXTERIOR LATH INSULATION INTERIOR LATH OR DRYWALL FINAL PLUMBING C] UNDERGROUND PLUMBING D UNDERGROUND WATER a ROUGH PLUMBING CD TOP OUT PLUMBING [Zl SEWER AND PL/CO CH TUB OR SHOWER PAN d GAS TEST a WATER HEATER 0 FINAL READY FOR INSPECTION:D MONDA DA.M. DP.M. SPECIAL INSTRUCTIONS. ELECTRICAL CU TEMPORARY SERVICE CH ELECTRIC UNDERGROUND CD ROUGH ELECTRIC CD POOL BONDING CH ELECTRIC SERVICE CD CEILING HEAT a G.F.I. a SMOKE DETECTOR a FINAL MISCELLANEOUS CU PLENUM AND DUCTS a COMBUSTION AIR CD PATIO a SIGN LTD GRADING Q DRIVEWAY a CONDITIONED AIR SYSTEMS CH REFER PIPING a FINAL D WEDNESDAY D THURSDAY a FRIDAY REQUESTED BY.PHONE NO, PERSON TAKING REPORT To - -J-^^-^r j^UEST FOR INSPECTION s INSPECTO TIME:. NO._.DATEfs?A OWNER. (^ ^UILDIN^ CD ^OUNUATfON \ CD REINFORCING STEEL CD MASONRY CD GROUT -GUNITE CD FLOOR AND CEILING FRAME CD SHEATHING CD FRAME CD EXTERIOR LATH CD INSULATION CD INTERIOR LATH OR DRYWALL \D/ FINAL rx --' "'^~"— 7 ^~ / /' PLUMBING/ CD UNDERGROUND PLUMBING CD UNDERGROUND WATER CU ROUGH PLUMBiNlS CH TOP OUT PLUMBING ^J CD SEWER AND PL/CO ^x^ CD TUB OR SHOWER PAN / CD GAS TEST CD WATER HEATER CD FINAL >-"* ELECTRICAL CD TEMPORARY SERVICE CD ELECTRIC UNDERGROUND CD ROUGH ELECTRIC CD POOL BONDING CD ELECTRIC SERVICE CD CEILING HEAT CD G.F.I. CD SMOKE DETECTOR CD FINAL MISCELLANEOUS CD PLENUM AND DUCTS CD COMBUSTION AIR ff CD PATIO S~ CD SIGN CD GRADING CD DRIVEWAY CU CONDITIONED AIR SYSTEMS CU REFER PIPING CD FINAL READY FOR INSPECTION: SPECIAL INSTRUCTIONS D WEDNESDAY D THURSDAY D FRIDAY REQUESTED BY .PHONE NO. PERSON TAKING REPORT. REQUEST FOR INSPECTION • X ' ^^^'^ PERMIT NO._INSPECTOR. TIME:_ .DATE:. AnpRFSS S &S^ f^Wj^^Vt^t*-^ BUILDING d FOUNDATION CD REINFORCING STEEL a MASONRY d GROUT -GUNITE d FLOOR AND CEILING FRAME d SHEATHING d FRAME d EXTERIOR LATH E] INSULATION CH INTERIOR LATH OR DRYWALL d FINAL ELECTRICAL d TEMPORARY SERVICE d ELECTRIC UNDERGROUND d ROUGH ELECTRIC d POOL BONDING d ELECTRIC SERVICE [d CEILING HEAT Q G.F.I. C3 SMOKE DETECTOR CU FINAL , _,x^"i^ 7 PLUMBING ~$\ E] UNDERGROUND PLUMBING CD UNDERGROUND WATER 1Z1 ROUGH PLUMBING D TOP OUT PLUMBING J n SEWER AND PL/CO CH TUB OR SHOWER PAN CD GAS TEST CH WATER HEATER d FINAL TT READY FOR INSPECTION: SPECIAL INSTRUCTIONS lSCELLANEOUS d PLENUM AND DUCTS d COMBUSTION AIR d PATIO d SIGN d GRADING d DRIVEWAY d CONDITIONED AIR SYSTEMS d REFER PIPING FINAL D WEDNESDAY D THURSDAY D FRIDAY REQUESTED BY..PHONE NO.. PERSON TAKING REPORT. REQUE'ST FOR INSPECTION INSPECTOR^ OWNER. PERMIT NO. TIME: .DATE: ADDRESS, BUILDING ED FOUNDATION ED REINFORCING STEEL ED MASONRY ED GROUT-GUNITE ED FLOOR AND CEILING FRAME ED SHEATHING ED FRAME CH EXTERIOR LATH ED INSULATION V[ INTERIOR LATH OR DRYWALL CD FINAL "^ ELECTRICAL ED TEMPORARY SERVICE ED ELECTRIC UNDERGROUND ED ROUGH ELECTRIC 1Z1 POOL BONDING CH ELECTRIC SERVICE C] CEILING HEAT D G.F.I. d SMOKE DETECTOR n FINAL PLUMBING EH UNDERGROUND PLUMBING EH UNDERGROUND WATER CH ROUGH PLUMBING CH TOP OUT PLUMBING LH SEWER AND PL/CO CH TUB OR SHOWER PAN d GAS TEST CZ1 WATER HEATER Q FINAL MISCELLANEOUS CH PLENUM AND DUCTS [Zl COMBUSTION AIR d PATIO dl SIGN CD GRADING d DRIVEWAY CD CONDITIONED AIR SYSTEMS ED REFER PIPING ED FINAL READY FOR INSPECTION:DMONDAY DA.M. DP.M. D TUESDAY O WEDNESDAY SPECIAL INSTRUCTIONS. HURSDAY D FRIDAY REQUESTED BY..PHONE IMO._ PERSON TAKING REPORT. 7 REQUEST FOR INSPECTION TIME: INSPECTOR. OWNER PERMIT NO...DATE: ADDRESS- BUILDING CD FOUNDATION CH REINFORCING STEEL CD MASONRY O GROUT-GUNITE d FLOOR AND CEILING FRAME O SHEATHING CJ FRAME CD EXTERIOR LATH d INSULATION CH INTERIOR LATH OR DRYWALL 0 FIMAL ELECTRICAL EH TEMPORARY SERVICE [H ELECTRIC UNDERGROUND CH ROUGH ELECTRIC E] POOL BONDING CU ELECTRIC SERVICE [Zl CEILING HEAT Q G.F.I. a SMOKE DETECTOR a FINAL PLUMBING Q UNDERGROUND PLUMBING CD UNDERGROUND WATER D ROUGH PLUMBING ED TOP OUT PLUMBING CJ SEWER AWtTPL/CO CH TUJ8-O*RSHOWER PAN S^GAS TEST d WATER HEATER a FINAL MISCELLANEOUS CH PLENUM AND DUCTS [Zl COMBUSTION AIR EJ PATIO a SIGN EH GRADING CH DRIVEWAY CH CONDITIONED AIR SYSTEMS d] REFER PIPING FINAL READY FOR INSPECTION: D MONDAY SPECIAL INSTRUCTIONS. EDNESDAY a THURSDAY D FRIDAY DP.M. REQUESTED BY aM (L^t^^^&J^7<y -V REQUEST FOR INSPECTION TIME:_ INSPECTOR- OWNER. PERMIT NO...DATE:. ADDRESS. BUILDING CD FOUNDATION CD REINFORCING STEEL CD MASONRY CD GROUT-GUNITE CD FLOOR AND CEILING FRAME CD SHEATHING Gl FRAME CD EXTERIOR LATH CD INSULATION CD INTERIOR LATH OR DRYWALL CD FINAL ELECTRICAL PLUMBING EH UNDERGROUND PLUMBING ED UNDERGROUND WATER ROUGH PLUMBING EZ1 TOP OUT PLUMBING CD SEWER AND PL/CO CD TUB OR SHOWER PAN CD GAS TEST CD WATER HEATER CD FINAL READY FOR INSPECTION:DMONDAY DA.M. D P.M. CD TEMPORARY SERVICE CD ELECTRIC UNDERGROUND TROUGH ELECTRIC CD POOL BONDING CD ELECTRIC SERVICE CD CEILING HEAT CD G.F.I. SMQKE DETECTOR llW.v_ MISCELLANEOUS PLENUM AND DUCTS OMBUSTION AIR TIO SIGN CD GRADING CD DRIVEWAY CD CONDITIONED AIR SYSTEMS CD REFER PIPING CD FINAL ESDAY D WEDNESDAY D THURSDAY D FRIDAY SPECIAL INSTRUCTIONS. REQUESTED BY_.PHONE NO.. PERSON TAKING REPORT. /- , C Pt_ / REQUEST FOR INSPECTION INSPECTORS OWNER ADDRESS BUILDING CU FOUNDATION CU REINFORCING STEEL CU MASONRY CU GROUT-GUNITE CU FLOOR AND CEILING FRAME CU SHEATHING CU FRAME CD EXTERIOR LATH CD INSULATION CD INTERIOR LATH OR DRYWALL CD FINAL ELECTRICAL CD TEMPORARY SERVICE CD ELECTRIC UNDERGROUND CD ROUGH ELECTRIC CD POOL BONDING CD ELECTRIC SERVICE CD CEILING HEAT D G.F.I. CD SMOKE DETECTOR C] FINAL PLUMBING n UNDERGROUND PLUMBING EH UNDERGROUND WATER LD ROUGH PLUMBING a TOP OUT PLUMBING a SEWER AND PL/CO CU TUB OR SHOWER PAN LH GAS TEST LH WATER HEATER a FINAL MISCELLANEOUS CD PLENUM AND DUCTS CZ] COMBUSTION AIR LH PATIO CD SIGN CU GRADING CU DRIVEWAY D CONDITIONED AIR SYSTEMS CU REFER PIPING 0 FINAL READY FOR INSPECTION: D MONDAY D TUESDAY D WEDNESDAY D THURSDAY SPECIAL INSTRUCTIONS FRIDA\ ^ -- -^ REQUESTED BY PERSON TAKING REPORT. V INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDRESS: DATE: . H \PLANNING DEPARTMENT "ZONE LOT SIZE LOT WIDTH '"' UNITS ALLOWED UNITS PROVIDED ; PARKING SPACES REQUIRED % COVERAGE ALLOWED BUILDING HEIGHT ALLOWED FRONT SETBACK: ALLOWED PROVIDED PROVIDED_ _PROVIDED PROVIDED SIDE SETBACK:REAR SETBACK INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: SCHOOL FEE: DISTRICT:AMOUNT•A ADDITIONAL COMMENTS:<&, ~r OK TO ISSUE: >DATE OK TO FI NAL ENGINEERING DEPARTMENT R.O.W. DAT E INDUSTRIAL WASTE IMPROVEMENTS SEWER CONNECTION GRADING PERMIT DRIVEWAY LOCATIONS LEGAL DESCRIPTION EASEMENTS •7 4+sr, A DRAINAGE ADDITIONAL COMMENTS /_£ OK TO ISSUE: /£jl/t/ DATE OK TO FINAL DATE ' FIRE DEPARTMENT SPRINKLING SYSTEM FIRE ALARMS FIRE HYDRANTS ADDITIONAL COMMENTS _FIRE PROTECTION EQUIP. EXITS LOCATION .OK TO ISSUE:DATE OK TO FINAL DATE WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE STANDARD STRUCTURAL PEST CONTROL irSSPECTION REPORT f, tJOf^L (WOOD-DESTROYING PESTS OR O8£*ANISMS) . This is an inspection report only - not a Notice of Completion. ADDRESS OF PROPERTY INSPECTED BLDG. NO. 164 STREET CHESflTJf AVB. CITY CAMSBfiP CO. CODE 37 DATE OF INSPECTION 6-8-79 -., FIRM NAME AND ADDRESS PEST CGIfROI, CCKPAST 1370 GEABD A.7B. M&BC0S, CALIF. 92069 FIRM LICENSE NO. 2895 Jco; REPORT NO. (if ongjM 10?02| STAMP.NO. 268140 I I Affix stamp here on Board copy only I A LICENSED PEST CONTROL I T OPERATOR IS AN EXPERT IN T HIS FIELD. ANY QUESTIONS RELATIVE TO THIS REPORT SHOULD BE REFERRED TO HIM. Inspection Ordered by (Name and Address) JXyT Report Sent to (Name and Address) Owner's Name and Address Name and Address of a Party in Intei INSPECTED BY-. Iori»n Rogers YES X CODE SEE DIAGRAM BELOW S-Subterranean Termites K-Dry-Wood Termites F-Fungus or Dry Rot YES •est LICENSE NO. 570JL Original Report QJX Supplemental Report CODE] SEE DIAGRAM BELOW B-Beetles-Other Wood Pests FG-Faulty Grade Levels EC-Earth-wood Contacts YES CODE] SEE .DIAGRAM BELOW Z-Dampwood Termites SL-Shower Leaks CD-Cellulose Debris YES CODE 3 Number of Pages SEE DIAGRAM BELOW EM-Excessive Moisture Condition lA-lnaccessible Areas FI-Further Inspection Recom. 1. SUBSTRUCTURE AREA (soil conditions, accessibility, etc.)Rao -, 2. Was Stall Shower water tested?Did floor coverings indicate leaks? 3. FOUNDATIONS Uype, Relation to Grade, etc.) njnri, 4. PORCHES . . . STEPS . . . PATIOS A "hoi fti 5. VENTILATION (Amount, Relation to Grade, etc. 6. ABUTMENTS . . . Stucco walls, columns, arches, etc. 7. ATTIC SPACES (accessibility, insulation, etc.)Hone 8. GARAGES (Type, accessibility, etc.) 9. OTHER Accessible, ffone DIAGRAM AND EXPLANATION OF FINDINGS (This report is limited to structure or structures-shown on diagram. General Description—g\»o story sfeticoo and frame residence-agfth attached garage. ; The following areas were not inspected at this time: Furnished hleriors. imccess'b'? attics, or p-.rtiD.is '.hereof, the interior of hollow walls, spaces between a floor or porch deck snd the ceiiing or soffit toirw, s'.all siorers o- er Misled 7 "'o, sue' :" • v-" : a -*e crc^res e-elcsed by bay windows,- b'^res, built in ..cabinet work, floors b;as|Ih c- orng and areas to which V-f-, 's ^ "—< inspsc^n U =1 "-.a :b-o sre-s is Impractical wiil-ut d-i^clng or tearing cut lumber, masonry or finished work: Kcwe;er, a vlsja: l^paclirn of the s-.lorior u" i:^3 abov.3 dreas in^.caled no visible evidence of active in.ss.ation and/or infections un- less otherwise stated in this ?oport. - Signature..^ YOU AKE ENTITLED TO OBTAIN COPIES OF ALL REPORTS AND COMPLf TION NOTICES CN THIS PKOPESTV Fll£D WITH THE BOARD DURING THE PSECEOINC TWO r£AR5 UPON PAVWfNT OF A $2.00 SEASCH FES TO STRUCTURAL PiST CONTROL BOARD, 1430 HOWE AVENUE, SACRAMENTO. CA. 95S25. snp asAiea joox oj sjcaqosBi $OOM >&2N3Swp 9!f|mx9!)> jx> oa *COI ^<l p9*«QTpsi SB saAsa HJ pa^oa sSeoep a^Tmia?. (pooa&xp) sfaia!j.otB2 IQ SCOHM 6 403: -oao: aas * sis HSM. jco-i:a«!}.xa jo pascxfea atisj. «T pa^-ou fid^iraxs^ (p©Q«uCo:t) »©®a®|.OT:^2 jo aoaspTAg tg sf a© spi^a ^rojtq.0 HT an©p aq_ ^eoaeo a *sq.aBid 05. @2«iBp a©j: sfqsft a^ tj.0a jo *H -^ SB a^paia aqq. u-p pe<|,oo sa^jaza^, (poo&uCxp) @©iais%o-[B5c jo aonappig " 5. ©tip asaoae apjAgjd o% fea^QKuS. jsedde q.on saop % aoj siqisgeooB 9.011 ST frfl ^t pa^BOTPOf SB «®J« OT%*^ ^5 *? MIGKIISSO?«IB oq. 03. anp wof^oaastr^ jo asfq. q.e pa^osfe-i-p ^.ou SBM 9Jn%onji}.8 OT^BJ; tgaOM t? _ • - . 'J soiiT< ^ .. v s^>^ *uoTq.o d **oq.s *eadi:cE tafcii^tTd ajaq^ sna-re u-p doxaAQp ^ee ^aaa^^sajoi: *ed.fo. spq% jo no-R.onJ5.saoo «i •ponoaS uo qe^s e no pa^ota^suoo o^ ajcn5.SRJ!}.g tgj&QH •¥ •ON IJOdSH 'oo uouoadsui 10 81BQ '°N duieisf'-t-fv-m- j*»ii' ^TiTfST ^* * —a^ r* if M^ r -^ju. i^-m AJ.JO teajis -ON 'B 'MA¥ iiitoSaMO Auadojj .jo ssajppv iv aaivoon Aiaadoud 3^1 do laodaa NOiioadSNi aavaNvis dd aovd QNOOHS