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Home My WebLink About2381 JEFFERSON ST; MULTI-PERMIT FILE; CB023274; PermitI City of Carlsbad 1635 Faraday Av Carlsbad, CA, 92008 / 10-29-2002 Electrical Permit Permit No CB023274 Building Inspection Request Line (760) 602-2725 Job Address 2381 JEFFERSON ST CBAD St: A Permit Type: ..' ELEC - .' . Status: '. ISSUED Parcel No: 1551803400 'Lot #: . o - Applied: 10/29/2002 . - .'_, .-,- .Entered By: RMA . • Reference #: Plan Approved: 10/29/2002 'Issued: 10/29/2002 - Project Title: :CASTENS RES-ELECT 1nspict Area: . 5 LESS THAN 120 SFNO PERMIT NEEDED FOR SHED '• • Applicant Owner * 9977 10i29/02 OO(POi 02 CASTENS GLENN D&MARCIA A CASTENS GLENN D&MARCIA A COF 2OOO -• 2381 JEFFERSON ST 2381JEFFERSON ST CARLSBAD CA 92008 BACA92093 ,.Total Fees: $20.00! - TotalPaymentsTo Date. - $0.00 .Balance Due: $20.00 ..-. r\ •-\•• •-- / \ 7 Electric Issue Fee / a $10.00 \ - Single Phase per AMP • 0 ' - $0.00 J Three Phase per AMP / 0 $0.010 Three Phase 480 Per QO 000 . . Remodel per AMP 0 D -- ' Temporary Service Fee $0 00) Test Meter Fee $0.00 Other Electrical Fees $0 Do -Additional Fees-. $0 TAL PERMIT FEES INcoppcntAcED V ID /7/ /1 FINALAP RO/AL Inspector , Date 1 Clearance - ' NOTICE Please take NOTICE thapprovaI of your project includes the Imposition of fees dedications reservation or other exactions hereafter collectively referred to as "fees/exactions Yo' have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them you must - follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 132.030. 030 Failure to timely follow that procedure will bar any subsequent legal action to attack - review set aside void or annul their imposition , you are hereby FURTHER NOTIFIED thatour right to fotest the specified fees/excois DOES NOT APPLY to water and sewer connection fees and capacity changes nor planning zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any i" fees/exactions of which you have previously been given a NOTICE similar to this, or as to hich the statute of limitations has Previously otherwise expired. . • 'S . ,.• . - - •. .- S . . . - .- S , . S ' '•.- _(.-' - S - -. • - S - - S S - . - - -, •. -S -s • -S ç 5- •-. 5 5 5- •-.- _,l 14 • I FOR OFFICE USE !' O%-Y PERMIT APPLICATION PLAN CHECI NO 2 L2 CITY OF CARLSBAD UILDING DEPARTMENT EST VAL ' 4 135Far6dayAve CarIslád,'CA 92008 • Plan Ck Deposit ValidatedBy . Date'/9(/ IfQRQNL C4_.2a?_.• _. '.H -' ___... -ddress (include Bldg/Suite #1 Business Name (at this address) ,. .-. A 1 Legal Description $t. '.' ' Lot No. Subdivision Name/Number - - ' iUnit N. Phase No.. Total nits : `As sessors3I# . Exi , / escriptionof ork ' '..,. ,' - SQ. FT. .. . - #of Stories .' ' ' I of Bedrooms # of Bathrooms I 7 . I . .- . /oXJ2. N. ---'s'. . ,-.' .-' -- ., -.' ,- •.,_ . ,.. . a . kr Address J1-/ed City -St .- Telephone # ayMV L1cJiaco_r D AgIjLnt rra&or er g er 4- 7c)72 9 /2 P Name Address S city'.,,State/Zip Telephone ,# _171111 - _ _•_;•, c"_te'S 4,;:2nter If -Y Name Address - City k State/Zip Telephone # 4- L WIM . . .- _', 4 ...• "( (Sec.7031.5BusinOssand Professions Code: Any_City or County'which requiresa 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 commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom and the basis for the alleged . exemptiori. Any violationof Sectiory 7031 .5 by any applicant for a permit subjects the applicantto a civil penalty of not more than five hundred dollars l$500fl. .- - - ' --, 4 - • ', ........ , • 4 . . - . , s., • • - . • -•'• '- •; . . -.4'- ,.,I.- 4. 4' 4 Name . • I 4i, Address'. - . '.Cit'/ . "State/Zip . Telephone #' . •• '4'• 4.') State License #License Class City Business License 4 4, , '9 , .'4 ' '' -: • 4 . -Dei9ner Name . -. _Addrss - A Cip, .: - State/Zip1 - 'Telephone I State License '# ~OIYUPE~NSATIQN ME 4 '4 Workers Compensation Declaration /1 hereby affirm under penalty of perjury one of the following declarations ' .... 4,- 4- . 4. .' •.. 4). * .4. 1' ' 4 I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code for the performance +. of the work for which this permit is issued 0 I have and will maintain workers 'compensation,'as required by Section 3700 of the Labor Code for the performance of the work for which this permit is4 issued My workers compensation insurance carrier and policy number are I' Insurance Company '4 Policy No Expiration Date1 (THISSECTION NEED NOT BE COMPLETEDIF THE' PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR' LESS) ,- - '• - ,•4 - - 9-- . ' .• - .. ,• .. CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers compensation coverage is unlawful and shall subject an en'ployer to criminal penaltis and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney a fees SIGNATURE______. DATE.-',a & • ,a E7 WiiEW bWEA 1 - - I hereby affirm 'that' I am eempt from the Contractor's License Law for the following reason:......... 4__•/ sI 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 Businss and Professioris bode:,,The Contractor s License Law does not apply to an owner of property who builds or improves thereon and who does j such work himself or through his own employees provided that such improvenents 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, that he did not build or improve for the purpose of sale) D I as owner of the property, 4am exclusively contracting with licensed contractors to."construct the project (Sec 7044 Business and Professions Cod The Contractor's License 9Law does not .apply,to an owner of property'whd builds or improves thereon, and contracts fOr such projects with, contractor(s) licensed pursuant t the Contractor's Licease-Law). - "- - '- .- , - , - ,: • - 0 I amexerript under Section .• ' Bi.iinesand'Professions Code for this reasn-.-,-''- ' ,' . ' . - ' 5' ' 4,, 4" - ..-. -, . . ,••-, ,. ,.• - ' - . ' .•,'- 4 - ' '. • ' ,,•_••• • .-. ' 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement-VES ONO - - . 2 I (have / have not) signed an application for 'a building permit for the proposed work 4 3 I ha' contracted with the foIlwing person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 4--,, -" - ', - •-' ' -:' ' -' - - ,;_ -4" ,- 4. 4-. - .'4,S'' - - " 44.4"."4 " -' . - . . '4. - 4' 4 . 4.4-. - 7 4 I plan to provide portions of the work but -I hav hired the folloing person to coordinate supervise and provide the major work (include name / address I phone number / contractors license number) I '4 - - - 8 - '''•" -, •- ".- 4 - 4_• - --- - 4-.-,-.- 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work):.4- '4 4ROPERTY OWNER SIGNATURES DATE BUIL . 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 Presiy Tanner Hazardous Substance AccountAct? 0 YES 0 NO . Is the applicant or future building occupant required to obtain a permit from the air, pollution control district or air quality management district? 0 YES 0 NO 41 Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? 0 YES 0:'W6 A - . - • • '. 4 • • 4.' - - ' . . 4 . - '4 -- . 4-4' - - - 4. 4 - , 4- . 4 • 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. -: r REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT -/ 921, 'I hereby affirm that there is a construction lending agency for the performance ,of the work for which this permit is issued (Sec 3097(i) Civil Code) '- *7 LENDER S NAME LENDER'S ADDRESS - I certify that I have read thapjIication and state that the above information is correct and that the information on the plans is accurate I agree to1 comply with all City ordinances and State laws relating to building construction l hereby authorize representatives of the Citt' of Carlsbad to enter upon the above mentioned 4- 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 ANY WAY ACCRUEAGAINST SAID CITY !N CONSEQUENCE OF THE GRANTING OF THIS PERMIT. -. OSHA An OSHA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stories in heigh 1 11 t A 4- - r EXPIRATION Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become 'Aull and void if the building or work ;:a uth o ri zed by such permit is not commenced within 180 days f om 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 comm Jor, a perA of,,! (ion 106.4.4 Uniform Building Code)., S SIGNATURE 4 #4' - DATE - -- '-. -. " - - '' -- 't WHITE: File YELLOW:'Applicant PINK: Finance - - - '. -' - - . '.•- - - 454 .4' _'4_ '4' / 4 .4. 4- '1 ye. City of Carlsbad Bldg Inspection Request For 03/14/2003 Perm# CB023274 Inspector Assignment PY Title CASTENS RES-ELECT TO SHED Description LESS THAN 120 SF-NO PERMIT NEEDED FOR SHED Type ELEC Sub Type Phone 7608039955 Job Address 2381 JEFFERSON ST Suite A Lot o Location Inspector APPLICANT CASTENS GLENN D&MARCIA A Owner CASTENS GLENN D&MARCIA A Remarks Total Time Requested By GLEN CATENS Entered By CHRISTINE CD Description Act Comment 39 Final Electrical 4Ij7 Associated PCRs/CVs Inspection History Date Description Act insp Comments ' 02128/2003 34 Rough Electric PY 02/28/2003 39 Finai Electrical WC PY 't 01/30/2003 39 Final Electrical' CO PY SEE NOTICE ATTACHED 01/24/2003 39 Final Electrical,.CO PY 1 City of Carlsbad 11/04/1999 1 Electrical Permit Permit No:CB994156 Building Inspection Request Line (760);438-3101 Job Address: 2381 JEFFERSON ST CBAD' Permit Type: ELEC Status: ISSUED Parcel No: 1551803400 , Lot #: 0 Applied: 1,1/04/1999 Entered By: JM Reference #:, . . ..Plan Approved: -11/04/1999 Issued: 11/04/1999 Project Title: ADD :3 METERS TO TRI PLEX . Inspect Area:. UPGRADE FROM 100AMP TO 300 AMPS ' Applicant: . Owner:,. BRUNO GARDINER CASTENS GLENN D&MARCIAA PO BOX 687 Q381 J,EfFtERSON ST 5874, *0CARLSBAD CA 92068 '° O1 0102 760-729-9458 / tOJ' c—PRMT . 6000 otal Fees:' $60.00 / f Total Payments $0.00\\la1ce Due:, $60.00 Electric Issue Fee 10.00 Sindle Phase per AMP ( ( , ' . . b Three Phase per AMP . "' j/p . /' $0.00 Three Phase 480 Per AMPS : . . ' /so.00 Remodel/Alte ::1t0n per AM , L'- , .. . . l Fee Temporary Service Fee INCORPORATED $0.00 Test Meter Fee $0.00 Other Electrical Fees $0.00 TOTAL PERMIT FEES $6000 FINAL APPROVAL 'pate: '2 'T2 . Clearance: fJOTlCE: Please take NOTICE that approval of your project includes the"Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that proedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fp/yrtinn if whith vni I hv nrpvini iIv hn nivpn NflTI('.F imiIr tn thk nr tn whiih th ct2tI ite if Iimithtinn hc nrvini iIv nfhpriwiqp pynirpd' CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 H ii -'• . FOR OFFICE USE ONLY. PERMIT APPLICATION . PLAN CHECK NO._________ CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. . 2075 Las Palmas Dr., Carlsbad -CA 92009 Plan Ck. DepQ Validated (760) 438-1161 . . . By Date 1. :.PROiECT!NFORMATION ' . . Address (include Bldg/Suite #) . Business N e (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # . Existing Use Proposed Use Description of Work SQ. .ET. #of Stories - # of Bedrooms , # of Bathrooms 7/? Sf>/eI ?D /4#A 7b 9&" z:2. CONTACT PERSON (it difMrant fri applicant) ') 4m Name ,,,. - Address t City State/Zip Telephone # Fax # 3. rAPPLICANT'. 'Contractor . Q Aentfor Contractor Owner . 0 Agent'for Oner :.j, Name G.EIV Q577/. Address 3 J City State/Zip . Telephone # 4 PROPERTY OWNER • . 5 7 MiS&9' &9 923 . '7e9-' 7sa Name 4Q/AA/6 / OP]?.I)J,5k' Mess .- City State/Zjp - Telephone # \ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, ernolish or repair any str t u r e , p r i o r t o i t s issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of t h e C o n t r a c t o r ' s L i c e n s e L a w [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basi s f o r t h e a l l e g e d 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 hu n d r e d d o l l a r s I $ 5 0 0 1 ) . Name iO'/&)Xc'th3 7 CityC 4?4S 'ateiZip924/8Telephone - State License # ' License Class - £?. /O City Business License # , Designer Name Address City State/Zip Telephone State License # 6 _,WOäKERS COMPENSATION '.—Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: C] I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performa n c e of the work for which this permit is issued. C] I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code,fdr the performance of the wor k f o r w h i c h t h i s p e r m i t i s issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. - Expiration Date__________________ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) a---CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any m a n n e r s o a s . - to become subject to the Workers' Compensation Laws of C or ia. • WARNING: Failur cure worke ' p ation co erag is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doll a ($ 00). in ad Ition to a oat of ation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE 2r . . DATE 7 ' OWNER \ UILDER DECLARATIO 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: C] 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, a n d w h o d o e s such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the bui l d i n g o r i m p r o v e m e n t i s - - 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). - 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: T h e Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects wit h c o n t r a c t o r ( s ) l i c e n s e d pursuant to the Contractor's License Law). 0 I am exempt under Section Business and Professions Code for this reason: ' I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES DNO I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type ofworkl: PROPERTY OWNER SIGNATURE . - . . . DATE COMPLETE THIS SECTION*FOW NONwRESIDEN77AL'BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan,- acutely hazardous materials registration form or risk m a n a g e m e n t a n d p r e v e n t i o n program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality manageient district? 0 YES 0 NO Is the facility to be constructed within 1,000 feet-of the outer boundary of a school site? 0 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 SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. - 8''ONSTRUCT1ON LENDING AGENCY, I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Ci v i l C o d e ) . LENDER'S NAME . LENDER'S ADDRESS - 9 APPLICANT CERTIFICATION " — -' - ' . certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to co m p l y, ,ith all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit' of Carlsbad to enter u p o n t h e a b o v e m e n t i o n e d property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS, THE CITY OF CARLSBAD AGAINS T A L L L I A B I L I T I E S , JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY-ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS 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 issue y the Building Official u the pro ions of this Code shall expire by limitation and become null and void if the building or -work authorized by such per is t Comme wi n days fro the te of such permit or if the building or work authorized by such permit is suspended or abandoned at any time ter w k is c mmenced f nod of - 80 ys (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNA UfW.>" - ''-'-- DATE Weill - ' - WHITE: File YELLOW: Applicant PINK: Finance 1; WWI City of Carlsbad Inspection Request For: 12/9/1999 ; S Permit# CB994156 Inspector Assignment: DM Title: ADD 3 METERS TO TRI PLEX Description: UPGRADE FROM IOOAMP TO 300 AMPS Type: ELEC. Sub Type: • S Phone: 7607298786 Job Address: 2381 JEFFERSON ST S Suite: Lot 0 - Location: Inspector: APPLICANT BRUNOGARDINER. * * $ Owner: CASTENS GLENN D&MARCIA A Remarks: S 0 Total Time: . Requested By: BRUNO - - Entered By: CHRISTINE CD Description Comments • -S -. 39 - Final Electrical Associated PCRs ,. - Inspction History . -• Date Description Act Insp Comments - 11/10/1999 33 Service Change/Upgrade AP •DM 0 5' ) - - Oflt - 0 hereby affirm that Lam licensed under. ;V3proviaion.a.ot Chapter 9 (commencing with _ Ssätion"7000) of Division 3 of the. Business a-S_I. $nd Professions Code, and my iicenseis in j L .futt force and effect. . U - . . ., ,. I hereby affirm IhaL I am exempt ..lrom tire.. Contrac- lOr'5 license Law for the following reason (Sec. 7031.5 'Businessand Professions Code: Any City or county which re- . guires a permit to construct.aIter, improve.- demolish or I.. fepair any structure, prior to its issuance also requires he ap- plicant tor Such permit to tile a signed statement Anal he is.. licensed pursuant_ to the rprovisioos of the Contractors m - License law (Chapter 9 comenCing with Sectron 7000 et — .-0ivi5100 301 the Business and ,Professions Code) or ttrat is en-' - - - empt therefrom and the basis luc the alleged exemption. .Aryy- violation 01 Section 7031.5 by an applicant era permit ;X. .1 jects the applicant to a Civil penalty 01 not more than live hjn' j' dred dollars ($500)T' - •_ '4. 19 - _L 1, I. as uwuer 01 the pruperty, or my employees with wages I at heir sole Cômpensat)'on will do the wArk. and the struc- - a ' 'l°J oot'intendedor offered for sale (Sec. 7044, Business and Prnlessiens Code:,,The Cuntracler's License Law does I- not apply loan owuur'ut'pruperty who builds 'or improves - -7 [hereon and who does such work himself or through hiS'ewn - - - r employees; provided that such improvemeets'are not intend- ..4 I Ui ed n or uttered for sale._ it_however, the building or improve-..,._ - Z me nt is suld'within one, year,ot cumpletien,the owner-builder will have the burden xl pruning that he did not bUild or im- 0 prove for lhe'purpose ot sate)- I, as owner,ot,the property_am exclusively contracting - with licensed contractors to construct the project (Sec. 7044, -e Business and Prutessiuns Code: x The Contractor's License - Law dues not appljlu an owner of property who builds or.im'. -proves thereou: and who contracts tor_each projects with'a' ull contractor(s( 'liense pursuant to the Contractor's License 0 Law) - - Ii Asa homeowner I am improving-my home, and the 0110w-'. 4 ing Conditions exist: f,Ce I 0 ,•;r a. 1 work is being performed prior to .sale.._ 2. I have lived in my home _lor- twelve months prior to complelieoot this work- : Ui -' -.4--.-.- 3--I-have-not claimed this euemption"during O last three years. o' lam e*erptrin der Sec: ,tor.this reason r-r:. '14 _•.r"._..sj _rd • D.t hereby, attirm that I have a certiticat&ol consent to sett.insUre.or a certificate at Worhers'CempeesariOn In. I -suravceor a certified copy thereof lSec73800. Labor Code) $ OLICVNO.'•Z. Z COM PANY . •-;.:- -' -- . I- 2 I.' 4 --'_'Copy is- tired with the, city,—,- - . DIn Certified Copy is hereby rr ,urnised ,,,,,_ - - - .L'1tCER1iF.lCATE OF EXEMPTION, FROM ) U '' WORKERS'COMPENSATION INSURANCE - VP . (This section need not be completed it the permit " is to, one hundred dollars l$ri or lessl Lu oD I certify that in the-performance of the work for which this permit is issued. I shall not employ any person in any 0 - 'manner so as to become subject to the Worbers' Compen- sation-Laws of California. - 'irrU Ce .......NOTICE f'O'APPLICANT: II: aftArhivg this rtilioate' UOf Exemption, you should becOrre subject to the Workers -r1 Compensation provisions of the Labor Code. you must tOrthwith comply with such provisions or this permit shalt be deemed 'revoked • * • . -'iB. .!Dl'hereby affirm that there is a construction lending I .,, 6t ageoforth e,f&inaUbeol thork for hich Ifris per- - 4-r t is-issued (Sec. 3097. Civil Cadet - '•- WJ Lender's Name— - Lede's Address L_ --., - .'_,c,• - APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.'- - . APPLICATION & PERMIT - -4 - - , - - • IIF, RAIl PflhIT Pfl flIIY L PRFqq IIARA CARLSBAD"BUILDING 'DEPARTMENT ' - 2075 Las .Palmas Dr., Carlsbad,-CA 92009-1915(619) 438-1161 - - JOB ADDRESS " AV, ST. RD. THOMAS BROS NO. DATE OF APPLICATION BUSINESS LICENSE S . . /i -•J VALUATION - , - PERMIT NUMBER- - - "•...,• ZONE- LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. CONTRACTOR _. CONTRACTORS P ONE $ OWNER'S NAME - - - OWNE R'S PHONE STATE LICENSE NO - .. - BUILDING SO. FOOTAGE OWNER' AILING ADDRESS -21~ CONTRACTOR'S CAVIJW 4 * - . 4 -, p;9 . - DESIGNER - - - ' •- - DESIGNERS PHONE DESCRIPTION OF'WORK -' - G4j L. JR_Ø41 Y'_Q.. 11/24. 0101 O2B1dPnIt, - 10 -V - *0008 )/ • DESIGNER'S ADDRESS . STATE LICENSE NO. - - - - /P 'FLRELEV, - NO OCCGP - EDU STORIES - - - -. . .-.. .' ' _• ,. . - YDND - - - - - •_ ._. - -. -- _..---. .—.-- — —• CENSUS TRACT - PARKING SPACE. RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT - TYPE - - 0çC,,Loao F,!RE SPR• - - - - AREA - 1 - CONST - TO N 0 . . ,o NO . - - • . vD ND Not Valid Unless Machine Certified OTY. 1 F".' 4 PLUMBING PERMIT'- ISSUE .-. ;-r"' - QT. ,-' .MECHANICAL PERMIT- ISSUE - - j -.'- -- . - SUMMARYIACCOUNT NUMBER - - . ' • - . - -j- - - - I - , , ,. . - - '- v'4 r-' - - • - - - - e'tDJ EACH FIXTURE TRAP . - , INSTALL F'URN. DUCTS UP TO 100,000 BTU BUILDING PER 001-810-00-00-8220 .. . EACH BUILDING SEWER, - , - ' . - • ,- ' . . ''. OVER 100,000 BTU, - ---- ' - SIGN PERMIT - ' • --001--810-00-00-8221- - ''• .EACH WATER HEATER AND/OR VENT ' - - - . BOILER/COMPRESSOR UP TO 3 H . - , PLAN CHECK - • • 001-810-00-00-8891 .. ._ EACHGAS SYS1EM'1TO'4OUT[E1S' - - BOILER/COMPRESSOR 3.15 HP - , ' - TOTAL PLUMBING - 001-810-00-00-8222 - EPCH GAS SYSTE'5 OR MORE --1 - -- -• --f METAL FIR'PLACE ..--..- s---:---- ELECTRICAL-- 001`810-00-00-8223 EA'CH-INSTAL,ALTER__ REPAIR WATER PIPE - • J VENT FAN SINGLE DUCT - ' - . . - , MECHANICAL _•001-810-00-00-8224 . ---,-' EACHVACUUMBF(EAKER -','. ' _. .•. MECH EXHAUST __HOOD/DUCTS'_'-,-. '- MOBILEHOME _--001-810-00-00-8225 WATER SOFTNER - . - ..-. _. _. RELOCATION OF EA FURNACE/HEATER a- - SOLAR-.- ________-001_81000008226 '- - - EACH ROOF DRAIN (INSIDE) _-.•.. DRYERVENT ___e _-- - STRONG MOTION _880-519-92-33 - MECHANICAL - - -.-''' . _, FIRE SPRINr(LLRS 001 810 00 00 8227 .. '' - -• . "j TOtAL _LUM_ING _,.- _-- /O -' .._ PUBLICFACIL(T(ES.FEE,.,_.-32081000'O_ . ,.' • OTY ELECTFCALPERMfl(SSUE ___- QTY MOB____EJS'JU - BRIDGE FEE 810 00 EARED PARK IN LiEU (AREA360 -.- --- -- NEW,CO/'JSTEAAMSW1__131CR __••_ ' _ CAR PORT 7e'-_. -- ___- _._.J(F ____--3l2-8lOOOOO835 - PH __- _3PH____' '-, AWNING /S)'\\- ;-. -LA COSTA TIF -3i1-81O-00-00-885 EXIST BLDG EA AMP/SWT'BKR -. - ,. -: - GARAGE/c . v - •u \• - ' ': • - -• FMF '' - ' "CitT1 - 1PH -- - 3 P • '.. - [. .4 ..a3fl - LICENSE TAX O0-1 j CARES REMDDEL'ALTER PER CIRCUIT ' 4 ' - . _• , -_: - - MIFF - 880-51 PRUL€SSING SER ;. - T.EMPPOLE .200AMPS - -- 4- - •' , - p - - C/'O -- .,-- - r'' - - OVER 200 -AMPS '- - - '-- , - - .- .: - * \'• --ç,': ' , - •' . ' . - . TEMPOCCUPANCI30DAYSI - -.x *• 'f'T--- '.'- \..,,, . . (" - . - ' -- , i' - t - • -a- .:-'"- "-, ' - __*-', CREDIT. DEPOSIT '••t -,' — TOTAL ELECTRICAL - ..: - - _• - — ' •.- .................I • s.TOAt 'IS ' . . TOTAL PAYABLE .FEES - - - L - - --' I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued byfhe ingO((icral under the provisronsollrris * AN 051-IA PET IS REQUIRED FOR EXCAVATIONS OVER- - shall ire Y and and eod If the building Or work INCLUDING THE Code CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON mC ceBo M,h. date 50" DEEP AND DEMOLITION OR CONSTRUCTN OF authorized by such pemi 5 n Of "in 'I no DECLARATIONS ARE TRUE AND CORRECT AND or orb a Ihorii Ch FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or ifIhe bui(djn 'hday m,ffro is suspeneor STRUCTURES OVER 3 STORIES IN HEIGHT GOVERNING BUILDING CON- Ly ISSUED: TO COMPLY WITH ALLCITY.COUN1'Y AND STATE LAWS abandoned a STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND f any lime slier a won is c KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS APPLICANT'S SIGNATUyI * ei-4or-a-pee,od of tOO days, \ D CONTRACTOR IN APPRC BY - r ç - • DATEf c EXPENSES WHICH MAY IN ANY,WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THIS PERMIT. OF THE BY PHONEGRANTING t WNER 0 i GALL FOR.FINAL INSPECTIONV WHEN ALL APPROPRIATE ITEMS ABO VE.HMIE BEEN APPROVED -' FINAL'. PLUMBINGY .V- 77 v L •--- ELECTRICAL --. r-' •.... ______ ________ MECHANICAL GAS BUI LDING. SPECIAL CONDITIONS TYPE - - BUILDING FOUNDATION - :.; -. .: 4•V - REINFORCED STEEL MASONRY GUNITEOR GROUT SUB FRAME E FLOOR CEIING. SHEATHING LJROOF EJSHEAR.L--__ FRAME-,. EXTERIOR LATH •- . .. -- INSULATION INTERIOR LATH& DRYWALL PLUMBING El SEWER AND BL/CO U pjco; -" UNDERGROUND El WASTE DWATE TOP OUT El WASTE 0 WATER \ :T• TUB AND SHOWER PAN GAS-TEST- - -- 0 WATER HEATER -.0.SOLAk_WATER--- ____ _____ ELECTRICAL - ROUGH ELECTRIC .-- •" El ELECTRIC SERVICE' :o TEMPORARY,. El BONDING"-* El POOL I 0 ELECTRIC UNDERGROUND ci UFFER:- ,SVMECHANICAL El DUCT& PLEM., ...SREF. PIPING 5 . D HEAT -AIRCOND.SYSTEMS VENTILATING SYSTEMS ATE - :-- D .INSPECTOR ,. VS -4--4• '-S - . - -• VS _ . - •4__ -. - -.-.-V - _5VSS •4 - - '4- tV5V •, I - FIELD INSPECTION RECORD - -- -.-•. V REQUIRED SPEQIAL JNSPECTIONS ; : INSPECT'5S NOTES NSrECTIO S P._TE /4•J V • CHECKED .APPROVAL SOILS COMPLIANCE PRIOR-TO; FOUNDATION INSP STRUCTURAL CONCRETE- OVER 2000 PSI PRESTRESSED CONCRETE V V •V - * . - - . _, - • .,. POST- TENSIONED - ..*_• .4V,-.5. s5___. VVVVS• - VS CONCRETE VFIELD WELDING - - - -- - - - -----.4- - HIGH STRENGTH . - r:T V BOLTS. 'V •__ _________ V_V •5.-5 - SPECIAL-MASONRY - - - - * - VV .., .-/ - l s-;. - '-I - - V,•• - -. -- S - VSSSVS - - S VV STr,V -5- :- V - VS - - *VS - VS - - S -5 55 VVSS •VS V VS. -ã - SV VS - - JVV -- VVSSV VVVS _S_ ___VS_SSSV _- - VS-V-S __• _S V -. SV 44 - -PILES CAISSONS -- __________ ____ ______ SVSS5VS*5_VS-5jS - ••••s-.4 4555_VSVSVSV VVS• 5VSSV VSSS_VV_• _VSV •VSVS 5_V VS 4 - - VS S__V •V V - I.-I•, -- - -4- - V5.54 .5 .,: - - V5, •5_VjS 4 5 _4• - - VS VS — - - V.5.5 -_ - - VS -- .---4- - *SV-5 V - V V5 VS_ 5_VS . - - V4 S •455.V 55_V_V•_ VS VV - VS_ -- •VSV*S__V-5.V_____VV T-5 .5•SV VSS_-5 5VSS.VSS .VSS*V4 L- U4104 t 4v" Vv - _-V V V 7 V 5 -*' V•)5__ -1.I VS VS V - - 7 - - - SSVV*VS-V .5 •V V . V - - _ r - _ V • - - V V (5 VL. - - - - - •V - S V S V V VSS - V V - - .4 IJ fl V 4V ,:- '- I •"• -4 '5 "s, pa' • - • . APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS IL -CARLSBADBUILDING DEPARTMENT--: •-: ,•[•" m"'APPLICATION '&PERMIT"'.-- - . ... - . •1200 Elm, Carlsbad, California 92008-1989 (619) 438.5525 JOJ2OE / AV. ST. RD. NEAREST CROSS ST. DATE OF APPLICATI N BUSINESS LICENSE A VALUATION, - PERMIT NUMBER, -. ___ LOT BLOCK SIJB1DI VISION i ASSESSOR1PARCEL NO. CONTRACTOR F . - • I' a CONTRACTORS PHONE a 'Y I ' ZONE OWNER 40 'S NAME s(c"e- JOWNE A'S PHONE CONTRACTOR'S ADDRESS LICENSE NO. PLAN I o -' BLDG USE CODE - 61 OWNERS MAILING ADDRESS lia- DESIGNER LICENSE a STANDARD PLAN • BUILDING SO. FOOTAG DESCRIPTION OF WORK 83 - • . a - . ' -. .4 1"., DESIGNER'S ADDRESS DESIGNER'S PHONE - - "- . - -V' , • 'F/P ',FLR ELEV. x , NO 0CC OP - EDU - - "- " T' • - • - - • . STORIES ', - . ' -' ' .• - - YD-NO ,,-j-----v ' --•.•. - FIRE SPR ' CENSUS TRACT GP'LAND USE - - PARKING SPACE . RES UNITS GRADING PERMIT ISSUED r a REDEVELOPMENT AREA, , x vCONST TYPE 0 c LOAD .- - FIRE ---'----- - *- _• 00'. _l _.'YD ND __' . ,• vDNO 'No!'VaI1d Unless Mach1ne'erti1ied - CITY. Q '5 •-_ G j__•PLUMBINPERMIT-(SSUE.- '• .- - QTY: ' • ' .. •-, ' MECHANICAL PERMIT- ISSUE . ' - - SUMMARY/ACCOUNT NUMBERAsio --a- ' - ' '-------w - • • _- -'. EACH FIXTURE TRAP y' , '- INSTALL,FURN. DUCTS UPTO100,000 BTU -- --' - ' BUILDING PERMIT • -' '01-00-00-8220 --- _. EACH BUILDING SEWER" ". -- -k --,, ' jOVER (00,000 BTU -_ ---. _,• ,SIGNPERM(T '01-00-00-8221 • _'. _-- _'. _'•• _- EACH WATERHEATER AND/OR VENT, - •• BOILER/COMPRESSOR UP TO 3 HP PLANCHECK --01'0000'8806- '-- _-r •r 'EACH GAS SYSTEM-fJD4,OUT LETS --, --.,•,.' BOILER/COMPRESSOR 3-15_ HIP ''.' ' -TOTALPLUMBING 01-00-00-8222 EACH GAS SYSTEM 5 OR MORE 1 METAL FIR ELECTRICAL _- _____01700008223 - .0 lam exempt under Sec. ' - B & P.C.- — EACH INSTAL.. ALTER. _REPAIR WATER PIPE. VENT FAN SINGLE DUCT - ' ' - ' MECHANICAL __-01-00-00-8224 -- .i - - -EACHVACUUMBREAKER' -', MECHEXHAUST _HOOD/DUCTS'-'-'• -:' -MOBIEHOME --•"01-0O-0Qä225 - WATER SDFTNER RELOCATION OFEAFURNACE/HEATER a MOBILEHOME PARK (NSP )-- EACH RDOF'OR'AIN (INSIDE --- - ' _•- '': - -SOLAR __' _'.'-•01-00-00-8226 - - - - •. Compensation Insurance. or a certified copy thereoI .,I 4I '?J1 AP:_--'T,_- _' TOTAL MECHANICAL, , - - '- - - ,• --STRONG MOTION' _80-92-33-0519 ,' -- - -_- _DTALPLUMBING FIRE SPRINKLERS _.01-00-00-8227 -•- - _- CITY. " ELECTRICAL PERMIT ISSUE t - , OTY SOLAR ISSUE - PUBLIC FACILITIES FEE ____32 00_00_89 . _ -------•' --* BRIDGEFEE _--*---.. -.--• _- _--' '4 i..,,t' _______________________ NEW CDNST EAAMP/SWT!BKR n - -- - , - COLLECTORS _-- __••; - SCHOOLFEE _DISTRICT -- _.- _•- a __ 1PH '-- _--13PH _.'-/ _. ' STORAGE TANKS -- - - .- -- Carlsbad - 80-92-21-0519 --.. _-- __- EXIST BLDG EAAMP/SWT/BKR - __,'' _, -• __,..' ., ROCK STORAGE -a - . - ' ' -'----Encinitas ---80-92-22-0519--'--' -1_PH' i—''?3PH' PUMP . _-(' San Diego Ito - _-80-92-23-0519 -- a--- REMODEL-ALTER PER CIRCUIT' • - , - - a PLANCHECKFEE' San Marcos 8O92:24.0519 - ,TEMPPOLE200AMPS . __---'... , a' - - • ,. ___________ -' _-•- _' - ' ,-,-' ••--- . _:-- * OVER200 AMPS S - ' - ' - ' ' LICENSETAXO1-0O-OO-8162 - nZS, .TEMP OCCUPANCY I3OLJAYSI • ' - -r - - -k -• __\'.. °" - 1' _r- - '• - - Code.c you mast IOrll'rwilh comply with such _..' -- CREDIT DEPOSIT TOTAL ELECTRICAL MIFF 8O-92-57-0519 T1 )f TOTAL SOLAR a TOTAL FEES PAYABLE /04 I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION k91O PERMIT., AND DO HEREBY Expiration. Every'permit issued by the Buifdin'0tticiaI under the provisions rofthis * AN OSH'* PE1T IS REQUIRED FOR EXCAVATIONS OVER -expire CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code authorized bsuch all 7 limitation and ernt is I become null and void. It the building or work - 50" within 180 days the date of such DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit. or if7 the buildina orwork ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- auihoriza4.by such nr, menced ?trt suspended r STRUCTURES OVER 3 STORIES IN HEIGHT - abandonedatanylime a)erthe'workisco_me_edtoraperiodof180days a KEEP HARMLESS THE CITY OF CARLSBAD AGAINST A STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. tLB ALSO = INDEMNIFYVE APPLICANT'S SIGAATURE*(_'3WNER 0 00NTRACTORD APR?I7ED ?-' "DATE EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~4_ GRANTING OF THIS PERMIT' BY PHONE 0 '-tO - - -•. •— '. .'-*'' a - •' -, • a' , '' • , • ' • - - - ":- - - •,i . ' t• )-- - ' • - I . - . • • • -. - "a ', • ' - - a -' a", - • -. — USE BALL POINT PEN ONLY & PRESS HARD - I hereby affirm that I am licensed ,under provisions ot Chapter v9a(cotytmencing with '. Section 7000) of E'7v151on' 3of the Business an Proteaslons Code, and my license is in full1dirce and effect., w 'Lic. No. Class lherebyaflir'rn that. I am exempt from the Contrac- tor's, License Law for the following reason (Sec. -7031.5 Business and Professions Code: 'Any city or county which re .- quires a permit Is construct, after, irprone, demolish, or repair any structure'., prior Is its issuance also requires the ap- plicant for such permit to file a signed statement that he is - licensed pursuant fo'the. pronisions of. the—contractor's' - License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex-empt therefrom and the basis for the alleged eosmption. Any violation of Section 703t 5 by an applicant fora permit sub' - jects the applicant Is a civil penalty of not more-than live hun- (I?. dred dotlars ($500). -0 I, as owner of the properly, or my employees with wages as-their sole compensation, will do the work, and the struc-ture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does ,5 a., oat apply to an owner of property who builds or improves - - thereon and who does such work himself or through his own employees, provided that such improvements are out intend- ' W 5, ed or offered for sale:'t If, howeoer, the building or improve- - Z .,_ mont is sold within one year of completion, the-owner-builder - - •- , will have the burden .01 p?oviog that he did not build or a- 'a 0 prone for the purpose of sale). •. ' - ' - 0 1 as owner of the property, am exclusively contracting - . with licensed contractors to construct the project (Sec. 7044, I - - Business and ,Prutessions Code: The Contractor's License . - Law does not apply loan owner of property who builds or im- I .,- proves thereon, and who contracts for each projects with a - .. 1. contractor(s) license pursuant ,to the Contractor's License Law)- -.•- , -. -- o " 'n 0 As a homeowner I am improving my home, and the follow- I CC 4' . ',, ing conditions exist: " --n - I .,.uThe work is being performed f$rior to sale. ' - - •_. 2. ,,l have lived in..my bowels, twelve-months - . , prior to completion of this work. - L ' . 3. I have not claimed this exemption .during the -" • '' last fhree years," - -. ' • . t for this reasoo -- r; • v -u ',,.' -I ' '--v it- 14 sen ' -' . . toseII-insure.,' or, a certificale 01 Workers lSeè.. 3800. Labor Codel. . - '. - POLICY NO.'. - - • ., . Z . . 01 F. COMPANy t -- - -I V) 0 COpy is filed with the, City IuJ - - 0 Certified copis hereby turflished 4. - 0 • '.'f CERTIFICATE OF EXEMPTION FROM 0 v.4 '. WORKERS',COMPENSATlOrl INSURANCE I ,, (This section need not be completed it the permit - , 510,0ev hundred dollars (8109) or iess UJI ' cerlity that in the performance of the work for O ,,which'Ihis permit is issued; I shall nol employ any ,tpqrson in any manner so as 10 become subject 10 the Workers' Cornpenisalion Laws 01 Cal rtornia a NOTICE TO-APPLICANT latter making this Cerli licate of Exemption. yOu should become subject I') - - ' jv.,, the Workers' Compensation provisions of lye Labor 'prOvisions or this permit shall be deemed revoked - I l'rer,ebyallirrri II'it there is a construction 1r, cc- ( v' Ievdipg agency Or the performance of the work for .... ,'.I ,.-.jwhiCI'i this permit is issued (Sec. 3097, Civil Code) I )x •.''_v-,v,,, , • * __ Lender's Name ' -- '—at ' •:_ . Lenders Address 'v - _ - - __ ' - '-V - -. V/.V ••*'•-V'F .2'. >2 INSPECTOR .• . - TYPE DATE BUILDING FOUNDATION REINFORCED STEEL - MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING 0, ROOF EJ SHEAR FRAME EXTERIOR LATH '• INSULATION INTERIOR LATH'&' DRYWALL I- - PLUMBING SEWER AND BL/CO EIPLICO UNDERGROUND El WASTE El WATER TOP OUT 0 WASTE WATER El TUB AND SHOWER PAN GAS TEST_ El WATER HEATER El SOLAR WATER T ELECTRICAL El ELECTRIC UNDERGROUND DIUFFER ROUGH ELECTRIC' El ELECTRIC SERVICE El TEMPORARY El BONDING .- El POOL MECHANICAL El DUCT'& PLEM., ElREF: PIPING ---- HEAT --- AIRVCOND. SYSTEMS I. VENTILATING SYSTEMS -. .-. ... - - •T \\ 'CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS AROVF HAVE REEN APPROVED, :"- / FINAL, PLUMBING --- ELECTRICAL MECHANICAL - = GAS BUILDING ' _' (: - SPECIAL'CoNDrrIONS, r . * ••• V FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS ' INSPECTOR'S NOTES INSPECTION REQ. IF INSPECTOR'S DATE - CHECKED APPROVAL - - - SOILS COMPLIANCE V PRIOR TO -_- FOUNDATION INSP - --- STRUCTURAL CONCRETE VV- OVER 2000 PSI V V ' V PRESTRESSED - V CONCRETE POST TENSIONED .. - CO N C'R E TE . FIELD WELDING HIGH STRENGTH. t . BOLTS V . -- . SPECIAL MASONRY . - PILES CAISSONS - --• V ' . - l4 -U4 iL - V V V, tS''-r- •V, V . . V . F .' V - - • - \ 'V V - '4' 4 VFV4 .1 Cl V