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HomeMy WebLinkAbout2451 IMPALA DR; BLDG 4; 82-428-4; PermitC (0 0 0 0. C. - 0i (I, CI) as 0 0 CL. cd ad cl - as 0 C C LL -C as as APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. '--:H - " A /ARLSBAD BUILDING DEPARTMENT . ' -' - ''-i,-- . - APPLIcATION'& PERMIT -- - '' -"-L/1200 Elm Carlsbad Cali fornt 08 1989 (619) 438-5525 1 - JOB ADDRESS - AV. ST, DATE F AP LICATION BUSINESS LICENSE # VALUATION PERMIT NUM8EM no. 97 OWNER S NAME OWNERS PHONE CONTRACTOR -' CONTRACTORS PHONE C :ZONE I' PYcrqO ' ZZ4L co, ______ ', :,. .' -•' OWNER'S MAILING ADDRESS' ' CONTRACTOR'S ADDRESS ft LICENSE NO. PLAN I.D. #,. • BLDG USE CODE P_(1 ."•' - LOT BLOCK SUBDIVISION 1 ASSES R PAR , LN. DESIGNER LICENSE # STANDARD PLAN # - -. Z&JJ (ei" 'ug PTNIG SO. FOOSAGE dyTINpF WORK/I DESIGNER'S ADDRESS7-,1 / DESIGNER'S PHONE 7 F/PFELEV 'NO - —' <-' T97ES , A .. NO OCCGP qN1:1 CEN.S.US T OACT 'GP LAND USE _PPRKING SPACE RES UNIT GRADING PERMIT ISSUED REDEVELOPMENT AREA , TYPE OCC L!IAD F1,RE SPR tc*sT) Not Valid UnMn Machine QTY. ' PLUMBING PERMIT- ISSUE - QTY. - MECHANICAL PERMIT - ISSUE - .3, , SUMMARY/ACCOUNT NUMBER — EACH FIXTURE TRAP I INSTALL FURN DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 7, 4 EACH B'U(LD'ING SEWER, . - ,*, - - - :.OVER-100,000 BTU-- . - . - SIGN PERMIT - 01-00-00-8221 - EACH WATERJIEATER AND/OR VENT -- - , - BOILER/COMPRESSORUP TO 3 HP - - , , • PLAN CHECK 01-00-00-8806 ,- EACH GAS SYSTEM (TO 4 OUTLETS - . BOILER/COMPRESSOR 3-15 HP - - - TOTALPLUMBING 01-00-00-8222 -• EACH GAS SYSTEM 5 OR MORE L.- - - - ,. - METAL FIREPLACE.- - - - - --' - -- -- .'. -. -.-.. .- ELECTRICAL . 01-00-00'8223 EACH INSTAL., ALTERREPAIR WATER PIPE- * . -*----. VENT FAN SINGLE DUCT , .. - - •' - MECHANICAL 01-00-00-8224 - EACH VACUUM BREAKER- MECH EXHAUST - HOOD/DUCTS MOBILEHOME 01-00-00-.8225 ' WATER SOFTNER RELOCATION OF EA FURNACE/HEATER,-.4 - MOBILEHOME PARK INSPif • .- - . - , •'. .- P.-. - --• -. -.•. EACH ROOF DRAIN (INSIDE) - -' • - - . . ' t -- ' - - - SOLAR. • ' -01-00-00-8226' 'TOTAL MECHANICAL ' .• ' - - . • -i, -- -, ' -- ' - STR0NGMOTION 0-92-33-019- --', TOTALPLUMBiNG - •"' ', I FIRE SPRINKLERS •' 01-00-00-8227 QTY ELECTRICAL PERMIT ISSUE,._L QTY SOLAR ISSUE i PUBLIC FACILITIES, FEE _3200008923 -BRIDGE FEE NEW. CDNST_EA_AMP/SWT/BKR COLLECTORS SCHOOLFEE _DISTRICT 1 1 PH_____1 _______3 PH STORAGETANKS ____ '.',. _" i'- _CrISbad". _______r..80_92_2'0519 ' -'EXISTBLDG EAAMP/SWT/BKR ROCK STORAGE- ___,kt—. _ -t' '-.EnCinhtiS _.',,.' __'80-92-22-05l9-_ (This section need not becomplefed the permit,, — 1PH a, _3 PH ____-__ PUMP - _" " SanDlegelto - _8092_23_0519 ?REMODEC/ALTE,RzPER _CIRCUIT 's --f PLAN CHECK FEE l5anMarce'51_ TEMP POLE__200_AMPS ''"—--..-: • --OVER 200 AMPS, -- -.'-' ' - . --'-'-_- _.. __-,. -: _..- _ jc1 .e & _r- J97S_g, . TEMP OCCUPANCY(30DAYS) TOTAL ELECTRICA[ .:TOTAL BCE )'J I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY G Expiration. Every permit issued by the Building Official under the provisions 0/this * AN OSHA p€ieiii IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER 'PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void.It the building or work .5' C" DEEP AND DEMOLITION OR CONSTRUCTION OF authori by such permit is not commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the building or work authorized by such permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT GOVERNING BUILDING CON- fSSU: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS abandoned at any time after the work is commenced for a period of 180 days. -, - STRtJkiTf0N. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND 'r-1 HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND I NAT E MAY IN ANY WAY ACCRUE AGAfNST SAID CITY (N CONSEQUENCE OF THE r- 'APPR ED BY• .w - KEEP WHICH OWNER CONTAACTOR ,,,'J#7 j -' 2APPCA G EXPENSES - - BY PHONE o RANTING'O TI-uS PERMIT - 'I USE BALLPOINT PEN ONLY & PRESS HARD D-lherebo-J'Jff.t I amlicinsed under provtstonsof,.Chapter. 9(commenci!tgwith " - Section, 7000) of Division 3 of the Business - I- and ,Professions Code, and my license is in I full force and effect. ,-.. ' L-"-' No, --Class U 0 ''-..--- - U 4'_'f1' •" - . I hereby affirm that I am exempt from.; the Centrac' , '-, for's License Law for the following reason (Sec. 7031.5 - Business and Professions Code: Any city or county which re-. qaires a permit to construct, alter, improve, demohsh, or repair anyslructure, prior to its Issuance also requires the ap- - 'a'pllcant for such permit tO .tilO a signed statement that he is licensed pursuant to the provisions I of the Contractor's I. License Law' (chapter 9" commencing with Section .7000 of. Division 3 of the Business and Professions Code) or that is en- I'' empt therefrom and the basis for the alleged exemption. Any'-,"e,_ violation of Section 7031.5 by an applicant for a permit sub- 4v (ects the applicant to a civit.penafty of not more than five hun- - dred dollars ($500). ' ' . ''' P t, as owner of the property, or my employees with wages as their sole, compensation, will do-the work, and the stroc' . ture is nol'intended or offered for sale (Sec.' 7044. Business and Professions Code: 'The Contractor's License law does 5 _ not apply to an owner of property who builds, or improves',, thereon and who does such work himself or through his own ' .w"emptoyees, provided that such improvements are not intend- - eta -. . eder Offered for sale., It,' however, the building or improve- ..-.. Z moot is sold within one year of completion, the owner-builder - will have the burden of proving that he did not build or im- - prove for the purpose of'sale).--- -- —, ----- - ,t - ' ' 1 fi, •'v - 0 I, as owner of the property: am eiccfuslvely contracting with licensed contractors to'construcl the project (Sec. 7044, ' r '.. Business and Professions Code: The Contractor's Liceose La(does not apply to an owner of property who builds or Im-. ,. - -.. proves 'thereon, and who cant racts for each projects with a CE e contractor(s) license pursuant to the Contractor's license Z '. Law).,.. - ... - 0 - 0 As a homeowner lam improving my home, and the follow- II I 4 Ing conditions exist: ...._ — _ - cc - -f.. -1.. The work is betng'perfsrmed prior to sate. ". 2.-I have lived in 'my home for 'twelve months - ' prior to completion ot this work. Ut ' . 3. , I have not claimed this exemption during the .47 a -last three years. C11 lam exempt under Sec: a . - ' ." , a& P.C. lip1his reason D,,,,hereby atlirm that I have a certificate of consent , to self-insure, or .. a ,certificate of Workers' 'Compensation Insurance. or a certified copy thereof (Set, 3809. Labor Code).-- . .. - ',.. , ' . ;•",' - POLICY NO. - COMPANY 0 Copy is tiled with the city.'-. Z ;. ' ' 'r '0 Cerlitied copy is hereby turnished,- - 0 CERTIFICATE OF EXEMPTION FROM' WORKERS' COMPENSATION INSURANCE i it s tor.one hundred dollars 1510910, less) ' 0 I certify that in the performance of the' work for rwhich this permit is issued. I shalt not employ any a - person in this., manner so as to become subject to - the Workers' Compensation Laws of California,"—' - h' . r' , ..-,NOTICE TO APPLICANT:jt. after rnakin3 this Cert- ,. ticate of Eeempf ion, you should become subject In the Workers' Compensation provisions of the Labor -. -Code-you must . forthwith -Comply with such.. - provisions or this permit shall be deemed revoked. .•. .-. -"'-.--- .' ''D. t 'hereby .affirm that there is a construction ' cc I lending agency for the performance of the work for which this permrt is issued (Sec. 3097. Civil Codel zi - ' ;.:'-jh t'i •, • wi -Lender's Name ''. L Lender's Address * INSPECTION TYPE DATE - INSPECTOR - - ko T ' - - BUILDING FIELD INSPECTION RECORD - II - FOUNDATION REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES - MASONRY - __________ INSPECTION - EC iF CHECKED INSPECTOR'S AL DATE ç3 OIL S S COMPLIANCE PRIOR TO FOUNDATION INSP T- - : +r FLOOR& CEILING SUB FRAME: — ry -Z, ' - SHEATHING, FRAME STRUCTURAL CONCRETE OVER 2000 PSI OAAM EXTERIOR LATH iNSULATION PRESTRESSED CONCRETE 46-0 INTERIOR LATH & DRYWALL POST TENSIONED cCONCRETE 29 — , PLUMBING SEWERAND BL/CO • FIELD WELDING }-flGH STRENGTH BOLTS PLUMBING UNDERGROUND PLUMBING ATOP OUT' '.. / F SPECIAL MASONRY TUB IND SHOWER PAN -, - GAS TEST - PILES CAISSONS - ' TEMPORARY'POWER 4 ' ELECTRIC UNDERGROUND,'- ' . ROUGH ELECTRIC ELECTRICSERVICE BONDING - I r G F I — SMOKE DETECTOR .--MECHANICAL.,',,'. HEAT —AIRCOND —SOLAR_ SYSTEMS .T, - *.. '----_-'__-"---'---- _____ 4'-i VENTILATING_SYSTEMS -' - lko CALL FOR FINAL INSPECTION WHENALL - ITEMS , -A8OVErLHAVE BEEN APPROVED - 'APPROP'IATE - -.- -r?---- — - - --i rc - 41 vr - JOBSITEFINAL._____-\ : __•" PLUMBIIsIG_____"' ELECTRICAL. MECHANICAL'--'VW 4JJ.[ BUILDING,_T . SPECIALCONDITiONS.- CERTOFOCCj ISSUED , - v•-\ __ ycv , - _- ____.-•vs jvvv ______r "_ -'c -j. - -- - - - _:-•- c-::._:. __:c1 LvXN _ ' '-c: ':.'•;N". f- -, - - --.._.__ ' ' .' _-\ _•S - I L-_. - (S , j. -. __;- -- - -,- i---- _'c--- -. -- :-- --- .'--.- -4______—__— , 1 heby affimtii'1 tised under 0,_ provI&on of Chaptet9(comiiencingwith -. jjS6ction,7000) ofDivision,'3 of the BusIness IJTand lProfessions Code, and my license is In .,_,fuiLforce and effect. ,e-- - Lic. No. '_',...........,,._ Class - - 0' ___r:.__...._.•..___ C.).. ..f I n hereby, affirm. that I am exempt .trom. the, Contrac- - .(tor.s License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or ceapty which re: quires, a permit to construct, alter, improve, demolish, or ' 5'repair any structure, prior toils issuance also requires tliea'p - plicant tar such permit to tile a.slgned statement that he is licensed pursuant to theprovIsionsnt itheContractOr's ..._.License Law. (Chapter 9 cummeocing.with Section 7000 ot-... - Division 3 of the Business and Professions Code) or that is en- empt therefrom and the'hasis-tor the alleged enemptioo.-vAoy violation of Section 7031.5 by an applicant for a permit sub- jects the applicant to a civil penalty 01 not more than tine hun- dred dollars ($500). ' - ' - '" - :t 01, as owner of the property, or my employees with wages : '-'-a an their sole compensation will do the work, and the struc- ture Is not intended or offered for sate (Sec.',7044 Business' .j ; and Professions Code: The Contractor's license LawjdoeO 5 • not apply to an owner of property who builds or Improves,. ,.p.' thereon and who d000 such work himself or throngh his own employees. provided that such improvements are not intend- Ui ad or ettered for sale. - It. however, the building or improve- Z ment is sold within one year 01 completion, the owner-builder - will have the bordeout proving that he did not build or im- '- prove for the purpose 01' sate). - "0 I, as owner of the property,'am exclusively ceotractiog with licensed contractors to construct the project (Sec. 7044, ., ). Business and Professions Code: The Contractor's License Law does not apply loan owner of property,who builds,or im- - .. .proves 'thereon, and who contracts for each projects with a In w contractor(s)-license pursuant to the Cootractor'n License Z law(..,..'. . 0 0 'As a homeowner lam improving my home, and the follow-._..,.ing conditions exIst: e r' 1.- 'The work is being performed, prior.ts sale. 2. "I have" lived "io my home' tor'twetve months - -prior to completion01 this work- w 46 '3.. 1' have not, claimed, this.'exemptlon daring the 0, " fast three years. - -D, tam exempt iiiidorSec '°' . , B&P.C. -- tbr this reason - ,-" I "' '. ,-:, .- hereby atlirm that I have a cerlif cafe of con sent- 4'to,setl.insure.'t or a certificate of Workers' ' Compe'nsation Insurance or a cerlif, copy thereof a , f ote5z.. COMPANYl islo DCpy is ty 'D' Certified, 'farnished. IL m 0 CERTIFICATEOF EXEMPTION FROM ' 0 4 ,,,"WORKERS,COMPENSATlON INSURANCE - (This section need not be completed it the permit ui - is for one hundred dollars 191001 or less) le cc DI certify that in the performance of the work for,,, 4'fwhncfl thls permit is issued. I shall not employ any, person in any manner so as,to become subject to 't14ë Workers' Compensation' Laws of-California."- ' - ' .,NOTICE TO APPLICANT; If, afteLnnakie3 this Cent,- .'. -'t1ficate of Exemption. you aflould become subject to W 4 ' the orkers' Compensation provisions of the Labor -- a'. '--Code, ,-you- must forthwith comply '.with.,,suCh: provisions or this permit shall be deemed revoked. -- ' 1"i oi' 4rey'raft,rm. that there is a construction I,., Iending,,ageflcy tonthe performance of the work i wh,cf' this permit is i'ssueb'(Sec"3097. Civil Code).' - - -Lender's-Name- - '1 •' I 'h 'L'r,s L44; L Lender's Address iir ftbi I PflIhT prN ANI v & PRFqk iin . -. 'APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. - • ........ '-' CARLSBAD BuILDING DEPARTMENT r' "'-i T" APPLIAION '&PERMIT "'- - 1200 Elm, Carlsbad California 92008-1989 (619) 438-5525 4 JOB ADDRESS AV, ST. DATE OF APPLICATION Bust ess SE # VALUATION - PERMIT NUMBER-' RD. . ..*- OWNER'S NAME - OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE a . I 121 il OWNER'S MAILING ADDRESS CONTRACTO'S ADD Ss LICNSENO. PLAN I.D. # - ' BLDG USE CODE' ' LOT 113LOCK SUBDIVISION ASSESSOR PARCEL NO. , DSIGNEA / LICENSE # STANDARD ,PLAN # -' BUILDING SO. FO0TAGE• DESCRIPTION OF WORK B DESIGNER'S ADDRESS DESIGNER'S PHONE 1'- 4 ,,v/ - F/P FLR'EEV. : NO 0CC OP EDU /1 STORIES .. - 1v0 'ND " - ' . - ' -'- .• - - - .• -- - -- .5'- --". •- - '_-'-,r" FIRE SPR CENSUS-TRACT iGP LAND USE'- 'PARKING SPACE - • ' RES UNITS : GRADING PERMIT ISSUED REDEVELOPMENT - TYPE - 0CC LOAD - - - -v AREA ' ' ' - , 'CONST. ',••- v"- • "'" ' ' - ' ' - 4 - '- ON 0 — YO ND YO NO Not Valid Unless Machine Certified CITY".PLUMBING PERMIT ISSUE - OTY MECHANICAIPERMFr ISSUE 3....__- SUMMARY/ACCOUNT NUMBER - EACH FIXTURE TRAP '/6 4- INSTALL FURN DUCTS UP TO 100 000 BTU BUILDING 01-00-00-8220 -- - - '-/_ EACH BUILDING SEWER""- - - -'r- •- ' -' ,, V-'. - • :, - ---- -ç OVER 100,000 .---- .—,--. •-. -' -SIGN-PERMIT - o-- ---' -01-00-00-8221-- - - •- - - - . - EACH WATER HEATER AND/,OR.VNT - BOILER/COMPRESSOR UP TO 3HP ' . ' ,- PLAN CHECK ' 01-00-00-8806 - EACH GAS SYSTEM 1 104 OUTLETS - ., .'-"' BOILER/COMPRESSOR 3.15 HP J ' , • - TOTAL PLUMBING 01-00-00-8222 -_ - —. EACH GAS SYSTEMS DR MORE - '---"- - - --"- , •.0--'-, - METAL FIREPLACE'.- - - ---'., - - -'-- , - '•. .-.-- -ELECTRICAL - 01-00-00-8223 EACH INSTAL-., ALTER, REPAIR WATER PIPE - - -. VENT FAN SINGLE DUCT - - - - - MECHANICAL - 01-00-004224 '0 EACH VACUUM BREAKER MECH /D EXHAUST - HOODUCTS I ' MOB(LEHOME 01-00-00-8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER - . LMOBILEHOME PARK (NSP — — - - -' 11 EACH ROOF DRAIN (INSIDE) . - ,'-b - -' - - -- - $ -'r-' ' . SOLAR - 01-00-00-8226 - - •": -: ' - : --°.: -7 '-' &-'- ,. - " - 1 - . - = TOTL'MECHANiCAL-'STRONG ,; - ' , - , , MOTION - • 80-92-33-0519 - - '•' -' -' ,- ,,' -' -TOTAL PLUMBING,- ' - •- -? ' - •. FIRE SPRINKLERS - - - • ' 01-00-00-8227 - - • ,,' - - — t QTY - - - -'I ELECTRICAL PERMIT .QTy, - . • - SOLAR ISSUE : : • - ' PUBLIC FACILITIES FEE , 32-00-00-8923 BRIDGE FEE - ' ' - ' • - , -,ISSjJE,. . I NEW CONST EA AMP/SWT/BKR 4 COLLECTORS SCHOOL FEE DISTRICT 1 PH ' , -'. 3PH • '. .- .- STORAGE TANKS- - ' ' . • - -' Carlsbad , ' ' • 80-92-21-0519 EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE- — ' ' - Encinitas " -80;92-22:.0519 I PH 1' 3 PH - - -n PUMP San OteguIto 8092 23 0519 REMODEL/ALTER PER CIRCUITS ". - . ' . - PLAN CHECK FEE' " - - -• San Marcos -' 80-92-24-0519 - - - VTEMPO'CE-2OO AMPS" ' ',,' '• - •4 . , -- ;_ _t.ovEA200AMps:: ,,.,,.,,, ,'bi1l-.e"'-. , f. -' • - ,' . ,- .. - -t I ,TEMP OCCUPANCY 130 DAYS) a -' TOTAL ELECTRICAL r . - : 'TOTAL SOLAR It TOTAL FEES PAYABLE - 7 / ---e' • -" ' " f ---••-.--- ' k"-.- _- - • -- -, .w.. -,-. -. .ar,''.-' - -n - • - 'O n- --- ,- -, I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY o Expiration. Every permit issued by the Building Official under the provisions of'this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE expireCode shall nbY8 1 limitation and become null fl If the building or work -5'0" DEEP AND DEMOLITION OR CONSTRUCTION OF commenced within 180 days from the date of Such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the buildino or work authorized by such permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT GOVERNING BUILDING CON- ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS abandoned at any time after the work is commenced for a period 01180 days, STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE* ' APP4OVED BY I • A DATE COSTS AND OWNER CONTRACTOR -. KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, - - EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY'lN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT. BUILDING FOUNDATION- _ VVV __ VV ••• 5Va.** Vt _______ REINFORCE D STEEL V .. . - •.—.. MASONRYV __'a.-.,.•.. . . V GUNITE-OR _GROUT FLOOR &CEILING SUB FRAME SHEATHING-.V V - FRAME __V a..- V• I' - . -- EXTERIOR1LATH!NSULATION V - INTERIORLATH &:DRYWALLS_. V. _ PLUMBING SEWER AND BL/COJ_ V . - PLUMBINGUNDERGROUND .. - PLUMBING ToP. OUT __ TUBANDSHOWERPAN GAS TEST ' _ - __ V __- ' • V V ELECTRICAL TEMPORARY POWER- ELECTRIC. UND&GROUND, ROUGHELECTRIC ELECTRICSERVICE _ ' F V - V BONDING,:,, G.F.I. _—'SMOKE DETECTOR _-' • — - V . V .MECHANICAL-: -_'LI. VV DUCT &PLEM;,REF: PIPING VVV V V HEAT— AIRCOND -_ SOLARSYSTEMS VENTILATINGSYSTEMS -•.... VVV •*V 1 • - • FIELD INSPECTION RECORD - REQUIRED SPECIAL INSPECTIONS• - VV V V • . - - V. J -. V -* V• - '4 V . - NOTE V V S - - ' .jNSPECTOR V S • — V a.. INSPECTION INSPECTOR'S, DATE — CHECKED SOILS COMPLIANCE PRIOR TO FOUNDATION INSP . * . . - - STRUCTURAL CONCRETE - t OVER 2000 PSI '.- - - . • . PRESTRESSED- . . . V a. • . CONCRETE POST TENSIONED .V - . V j .. . . • " CONCRETE FIELD WELDING' V a.a.' T. -. V V i "'HIGH STRENGTH BOLTS SPECIAL;MA5ONRya..., - V V V . V - PILES'CAISSONS r * . — --- -. - - - V • V - ..I- V - • - *V • .. .a. .. V V 4 V V. V •V4 .V_ • •V V V__ - 4. -- • - ft p - -.V . . . • .: •V •V . V V V 4,' - V - - ... - . . - 4 * • . • -. . . _ . •VVV* 4 •VV. - V - V V \S'V F- . VV V 't ':4•V - 1 -i' r - VVSVV* 5 ., • . I V. - .. V • VV 4V4.tV -. 'V., V V - - - V . V .f . V - V V S - V - •• • - V * V4 - - - V a - • 14 INSPECTION TYPE - I DATE tINSPECTOR (1 5"f CALL FOR FINAC INSPECTION VHEN ALL APPROPRIATE — - - ITEMS 'ABOVE HA VEBEEN APPROVED. SITE FINAL: Y PLUMBING ELECTRICAL.__- _V MECHANICAL d'AS . BUILDING __- SPECIAL-CONDITIONS 5 ____ VV _ -i':--' .1— • - V CEATSOF OCCUPANCY ISSUED __"-I. - - - .VVVV VV V V _T.. V V .• - _ V\.V._..- - ______. ,j -V..4 Vj ,. F r V.. All, V*VVI t - • L_ - 4 V — a.V . VVVV V - - - V 5 •V •; V V A V - V V V • . . ' .. - V - 4J'SVVV V 9 V V V V - : * V - *V'a'VCP *V • a. . a.! - a 'V - • - . . V - ._ 9V • VV4f _ - V - ': V - -. f V VV •*4VV V . " — :- V V - . '- ;;-:;- V• USE BALI POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. 0 1 hereby affirm that iá'm licensed under o provisions of. Chapter.9 '(cóthiencingwith - -Section 7000) of Dlvislon,3 of the Business and Professions Code, and my license is In - full. force 2Vgeft 'c-.ro Class .l No • I hereby affirm that I .am exempt from the Contrac- for's License Law for the following reason (Soc. 7031.5 Business and-Professions Code: Any.clty or county which re-, quires a permit to construct, alter, improve, demolish, or - repair any structure, prior to its issuance also requires the ap-, - plicant for such-permit to file a signed statement that ho Is licensed purseant to the provisions- el the Contractor's ..License Law (Chapter. 9 commencing with Section 7000 sf- - - Division 301 the Business and Professions Code) or that is en- -, empt therefrom and the basis- for the alleged exemption. Any violation of Section 7031.5 by an applicant for a permit sob- jeclsIhe applicant lea civil penally of not more Ihanlive hun- - dred dollars ($500). - - - - 0. l 'as owner o! ,the properly,or my employees with wages - as their sole compensation, will do the-work, and the struc- - o lUre Is not intended orolleredlor sale (Sec 7044, Business ' and Protessions Code: The Contractor's License Law does - 5 . not apply, to an owner of property who builds or improves- - thereon and who doe suchwork himself or through his own - employees: provided that such improvements are not intend- W, ed or offered fur sale. If, however, the building or improve-- - Z mont Is sold within one year of completion the owner-builder will have the burden of proving that he did not build or Im- O -- prove-for the purpose of sale): - -. - 0 I, as owner- of the propeiiy,arnexcluvely contracting With licensed contractors to construct the project (Sec. 7044.- 7' -. Business and Professions Code: The Contractor's License Law does not apply to an ownerof.properfy, who builds Orion-., -; provesthereon, and Who contracts for each projects with a Oh - contractor(s) liceosk pursuant to the Contractor's License - Z Law). o ' 0 As a homeowner lam Improving my home, and the foils w- 4 ing conditions exist: .- - - cc -1. -The work is being performed prior to sale. -' -- 2. -1 have lived In my home for'fwelve months -. prior -to completion of this work. -- - 3. J? have not claimed this axe lion during the o -- - last three years. - - - 0 lam exempt oñderec. -_' ' - B & P.C. ... -. fop this reason, - O.J hereby affirm that I-have a certificate of consent to-, sell-insure: or a certificate of Workers' - Compensation Insurance, or a certified copy thereof (Sec. 3809. Labor Code) -NA . 9500755_____ z -POLICY NO. UNION - COMPANY -COMMERCI2IL - -D Copy is filed-with the city. cop is hereby,iurnished. - o CERTIFiCATE 0/ EXEMI'rION FROM - WORKERS' COMPENSATION INSURANCE - -. -(This.secfion.eeed not be completedf the permit - ' is for one hundred dollars 151001 or less). IX 0 I certify that in the performance of the worli, for o which this permit is issued. I shall not employ any - person in' any manner so as to become subject to - -, fheWothers' Compensation Laws of California. - '- - - NOTICE TO APPLICANIt': It. after makin3,triis Cciii- licate 01 Exemption, you should become subject to - the Workers Compensation provisions of the Labor Code: you must .forihwith-' comply— with '-Such - provisions or this permit shall be deemed revoked, - 0-i her eby 'affirm that there .is a Construction I -lending agency for the perf.ormance of the work for Lu - - - which this permit is issued lSec. 3097. Civil Codel. - - Lenders Name- L Lenders Address - - . - - CARLSBAD BUILDING DEPARTMENT 'I - - - - -- APPLICATION & PERMIT 1200 Elm Carlsbad California 92008-1989 (619) 438-5525 JOB ADDRESS AV. ST. DATE OF APPLtCATtON BUSINESS LICENSE # AD. 2451-A--GL -PAGB- (1 2/15/83 APPLIED FOR ' OWNER'S NAME OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE PALOMAR TECH. CENTRE PARTNERSHIP STRINGER ELECTRIC 453-6566 PERMIT NUMBER LIAI~ . VALUATION - ,' -- ZONE . - OWNER'S MAILING ADDRESS - . - - 3151 AIRWAY AVE. BLDG G-3, COSTA MESA, CA 92626 CONTRACTOR'S ADDRESS . - 92038 P.O. BOX 2156, LA JOLLA, CA LICENSE NO. 231671 PLAN .0. # - - ------- -BLDG USE CODE - - -- .- -, - LOT I BLOCK SUBDIVISION ASSESSOR PARCEL NO. 11573 DESIGNER - DESCRIPTION OF WORK LICENSE # STANDARD PLAN # - BUILDING SQ. FOOTAGE - - - DESIGNER'S ADDRESS DESIGNER'S PHONE - - - NotVa/idUn(essMachineCertified, . STORIES CONST - - -- - ELECTRICAL - - - F/P FLRELEV. ______________________________ - YO NO" NO occGP EDU - - CENSUS TRACT - GP 'L:A'N'uSE ' - - PARKING SPACE ' - RES UNITS - ' - ' - - GRADING PERMIT ISSUED -----. YO ND R'EDEVELOPMENT'. AREA - . - YO NO - -, - - TYPE - - 0CC LOAD FIRE SPR "0 ND - PLUMBING PERMIT - ISSUE - QTY. MECHANICAL PERMIT: ISSUE - SUMMARY/ACCOUNT NUMBER - EACHFIXTURE TRAP - -. - '- , INSTALL FURN. DUCTS UP TO 100.000:BTU - - BUILDING PERMIT 01-00-00-8220 EACH BUILD.ING SEWER -- - . - - - ' - - - ' . -OVER 100,000'BTU -- -. . - - -SIGN PERMIT-- EACH WATER HEATER AND/OR VENT - - — - - BOILER/COMPRESSOR-UP TO 3 HP - -. PLAN CHECK - 01-00-00-8806 , - EACH GAS SYSTEM 1 TO 4 OUTLETS . . BOILER/COMPRESSOR 3-15HP ' - TOTAL PLUMBING 01-00-00-8222 Al EACH GAS SYSTEMS OR MORE -- -. METAL FIREPLACE- - ' ,' - .- -. - -ELECTRICAL- - -- -01-00-00-8223 - - EACH INSTAL., ALTER-REPAIR WATER PIPE -, . VENT FAN SINGLE DUCT , - . , - - MECHANICAL - 01-00-00-8224 EACH VACUUM BREAKER MECH EXHAUST - HOOD/DUCTS -, MOBILEHOME 01-00-00-8225 - WATER SOFTNER - - - -- - . - RELOCATION,OF EA FURNACE/HEATER - ',- - MOBILEHOME PARK INSP - - - - EACH ROOF DRAIN (INSIDE) SOLAR - 01-00-00-8226 - - -- - - - : - - - - - - - -- - TOTAL MECHANICAL - ' - .., - .,' - -. - - - - ..,.S - . • STRONG MOTION 80-2-33-0519 - - '• -TOTAL PLUMBING "- - -- I., - . - - . . FIRE SPRINKLERS -. 01-00-00-8227 - . - QTY, ELECTRICAL PERMIT -ISSUE -' - :-T. 5 0 QT. - SOLAR - I$SU, - - -- PUBLIC FACILITIES FEE 32-00-00-8923 - - BRIDGE TEE - - NEW CONST EA AMP/SWT/BKR COLLECTORS - SCHOOL FEE DISTRICT 1 PH 3 PH 400A '.- 200 .00 STORAGE TANKS -- - - - • Carlsbad 80-92-21-0519 - — EXIST BLDG EA AMP/SWT/BKR -' ROCK STORAGE '. Encinitas 86-92-22-0519 ,1 PH - - , 3PH, PUMP - - " - • SanD(guito 80-92-23-0519 - REMODEL/ALTER PER CIRCUIT '' -- . PLAN CHECK FEE- - -; - ' - - - -- -- San MarcoS . : 80-92-24-0519 - TEMP PLE 2O0AMPS OVER-200-AMPS TEMROCCUPAN.CY.(30 DAYS( 2_ (11' 60A -3Ø/(1),"30A--1t.0--,- , - 3'5O TOTAL ELECTRICAL 242 50 - TOTAL SOLAR,.TOTAL FEES PAYABLE — I HAVE CAREFULLY EX . AMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued bythe Building Official underthe provisions clethis AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void. It the building on work 5'0'* DEEP AND DEMOLITION OR CONSTRUCTiON OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized permit, or if the buildino or work authorized by such permit is susp such permit is not commenced within, 180 days from the date of ended uch STRUCTURES OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time after the work is commenced for a period of 180 days. KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS COSTS AND OWNER CONTRACTOmç ' - - .' - - - STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND AP ANT' SIGNATURE * 0 a-&4 APPROVED BY DATE EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE IwSPFeTInN TYPE - DATE • INSPECTOR BUILDING - FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING - - FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL -- PLUMBING SEWER AND BL/CO PLUMBING .UNDERGROUND I PLUMBING TOP OUT TUB AND SHOWER PAN GAS TEST - - - ELECTRICAL TEMPORARY POWER ELECTRIC.UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE ' BONDING G. F. I. -'SMOKE- DETECTOR MECHANICAL DUCT& PLEM., REF. PIPING HEAT- AIR COND. - SOLAR SYSTEMS VENTILATING SYSTEMS- CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS-ABOVE HAVE, BEEN APPROVED. JOB. SITE FINAL PLUMBING ELECTRICAL MECHANICAL - GAS-- BUILDING - * . -• SPECIAL CONDITIONS CERT OF.00CUPANCY ISSUED _1 •' • .. :'*._ .) - - - . . •.. ,r r •-- ' ', - - ' * - FIELD INSPECTION RECORD _REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ. IF INSPECTORS - NSP CHECKED APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP - - STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED - CONCRETE ' FIELD WELDING - - - - HIGH STRENGTH - - . •,.. -- .- -- BOLTS SPECIAL MASONRY PILES/CAISSONS 4 4 .•-_' 0 4I' I. 1 4. - I — - . -4- ;,. :- ______ -, • -_-* - .,-.I •j - -r_: '- ! -'• - • .. 0'. r APPLICATION FOR PERT TbCONNECT TO CITY SEWEYSTE '. CITYOF CARLSBAD ' N0SE ENGINEERING DEPARTMENT 7 /;" / 485541 ISSUED BY FOR APPLICANT TOFILL DATE ISSUEc\\ ADDRESS VALIDATION OWNER lv.. 'ç;', ..•/ MAILING ADDRESS LATERALCHARGECOMPUTATION. ,. . . •. . CONTRACTOR " ' ' ' STANDARD 4 (Max H 30 V 101 OVER 30 H. ________FT. 0 OVER1'V. ____ FT.- CONTRACTORS -- . . - . . . ADDRESS . • - '/f 'STANOARD6'.(Max.H.30',V10) .. OVER 30 H FT NEW BUILDING - EXISTING BUILDING OVER 10 V ______ _______ FT LEGAL DESCRIPTION .•- . .. . . . . TOTAL CONSTRUCTION COST SERVICE CHARGE (REPAVING ETC) 1 TOTAL LA IL REMARKS LINE COST DATA ASSESSMENT DIST NO -#. . . •• ft 0 • . FRONTAGE ________COST PER FT. 'TOTAL_______ I OTHER LATERAL LOCATION 2 CONNECTION FEE) / NO UNITS COST PER UNIT TOTAL -. -I .. •0 - . 0 / 0 • PUMP STATION FEE S "-.7---,- 1 . NO UNITS ______ COST PER UNIT TOTAL -' I :- - 0•'•• - •• 0 • 0 •• •0 • 4,41 - ST TOTAL CHARGES (LATERAL ETC tLATERALNO 0 INSTALLATION DATE______________ ... HifEEirèerIi3REEN:Fj,ance YELLOW: Sanitátioñ PINK: Building qOLDENOD: Pemittr. , WHITE:.. , .. i -. investigation report for the project dated Our services consist of professional opinions and recommendations mJ.n.i____ accordance with generally accepted geotechnical engineering principles and practices. This warranty is in lieu of all other warranties either express or Implied. .. . . . . t er cr t1'c1 -, cI.- '5 7 ki €7 I I /(C7 c r A f , icj .//7 cz1CI ( c4 c7 S ATA 81 pi , kri- t(c-.._s o -eriI- J2-"r_-(fr-e iQVi 13Icj7 9re opirs To - - - - - - ... -.. ... . •. •..:.. .'; ... .-. ..... -. ' Consulting. Soil, Foundation & Geological Engineers 10505 Roselle Street ISAN DIEGO, CALIFORNIA 92121 (714) 4535605 . .. . TO q..ii vi i6t THE FOLLOWING WAS NOTED: . I .1011 NO. PR ECT LOCATION bC/C CONTRACTOR /51 OWNER - WEATHER . TEMP. 0 a AM .0 at :- PM PRESENT AT SITE N I have inspected the 'materials exposed in the footing excavations for the _ - subject buildi(. The materials consist essentially of cdT7 as anticipated in . .. investgationrepQrtAcc.ordingI,__ it is our opinion that the materials exposed are suitable for the svppprt oL__... frrltinr1c -'d irir,-i in rdrir whh th mmnrlitrtrie rrertQr4 in th ••• • Wyman 20165 QUESTHAVEN ROAD Testing ESCONDDO, CALIF. 92025 (714)1 744-0146 Laboratories : COVERING WORK PERFORMED DREINFORCED CONCRETE DSTRUCT. STEEL ASSEMBLY WHICH REQUIRED APPROVAL BY OPRE-STRESSED CONCRETE DREINFORCED GYPSUM DGLIJE-LAM.FABRICATION THE SPECIAL INSPECTOR OF DREINFORCEDMASONRY DPILEDRIVING MOTHER Field Welding JOB ADDRESS Addresses Listed Below . FOR WEEK (ENDING 19 OWNER OR PROJECT NAME Interamer Dey. SLOG. PERMIT NO. 82-428 PLAN FILE NO. CONSTR. MAT-L. (TVPE,GRAOE.ETC.) ARCHITECT Brown _Leary DESIGN STRENGTH SOURCE OR MFGR.. ENGINEER Helix DESCRIBE MAT'L. IMIX DESIGN. RE-BAR GRADE & MFGR.I MatU ASTM-A36 GENERAL CONTRACTOR Hannan Gillard Electrode .E-9018 B2 CONTR. DOING REPORTED WORK M.Q. (welding-by Hawkins) Reinforcing steel ASTM A615 LAB RECEIVING & TtSTING CONSTR. MATL SAMPLES ISP N. I DATE LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC., Includes information about amounts of material placed or work performed; number, type, and identity numbers of test samples taken; structural connections (welds made, h.t. bolts torqued) checked; etc. 5/6/83 Inspected joint preperation, fit-up and welding of fillet welded, chord and pannel tie, connections. Certified welder was observed for proper welding proce- _______ edures and techniQues. • Completed welds were inspected for size location, ,length and ggal&ty and were found to be in accordance with aoplicable details, sections and Project Specifications. Inspection of these buildings will consist of: Inpection of_welding_of_ tilt-up commence _panels, _this_will_ _on_/9," Bldg ./11: Palomar Tech Center Bldg.5: Interamer Day 2431-33 Golden Bear P1. 2Lt53'-' Golden Bear • Bldg.#2; International Dey Bld.i6: Interamer Dey 2b41 Golden Bear 2461 Golden Bear Bldg.#3: Interamer Dey Bldg.#7: Interamer Dey • 2443-45 Golden Bear •• • 2463-6 Golden Bear Bldg: Interamer Dey • 2L51 Golden Bear CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK. UNLESS OTHERWISE. NOTED I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS SPECIHCATIUNS,& APPLICABLE SECTIONS OF THE CITY OF SAN DIEGO BUILDING LAWS. HO\ SIGNyrURE9FRECISTEREO INSPECTOR CMW_123 A E 6v REPORT REGISTER NUMBER •• 20165 QU.ESTHAVEN ROAD ESCONDIDO, CALIF. 92025 (619) 744-0146 COVERING WORK PERFORMED DREINFORCED CONCRETE DSTRUCT. STEEL ASSEMBLY WHICH REQUIRED APPROVAL BY DPRE-STRESSED CONCRETE 0 REINFORCED GYPSUM DGLUE-LAM.FABRICATION THE SPECIAL INSPECTOR OF DREINFORCEb MASONRY DPILE DRIVING DOTHER JOB ADDRESS 2LI/31_2Ll.6 Golden Bear Place NO. 1 of 1 IFOR WEEK lENDING -13 19 83 OWNEROR PROJECT NAME InterAmerican Development BLDG. PERMIT NO. 82_428 PLAN FILE NO. CONSTR. MATL (TVPE.GRADE.ETC.) • ARCHITECT Brown Leary DESIGN STRENGTH SOURCE OR MFGR. • ENGINEER He! iX. DESCRIBE MAT'L. (MIX DESIGN. RE-OAR GRADE & MFGR.I GENERAL CONTRACTOR - CONTR. DOING REPORTED WORK LAB RECEIVING & TESTING CONSTR. MAT'L SAMPLES INSP N. DATE LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC., Includes information about amounts of material placed or work performed; number, type, and identity numbers of test samples taken; structural connections (welds made, h.t. bolts torqued) checked; etc. Concrete Inspection S Instected the footings for missing tie down'bars per the instruction of the engineer.. Inspected -down _footings _for _missing _tie_bars _and _found several area.where they were left out of the footing. Engineer advised t.ht hnlps being drilled :for the missthg tie-dos shall-be a nun, of Inspected bldg. Y.1 & 2 and found them to be drilled to the correct depth. Observed the placement of /1 • rebar in the eXisting holes. 5-11 Today the engineer advised that the holes for the new tie- down bars could be a mm. of 9". All bars having lap of 123.11- than 18" would have to be welded 2" on both sides. Inspected bldg. ,# 1-3. • •. • • 5-12 Continued inspection of the drilling of the tie-down holes • bldg. # 2-4. . . • • • • S • • klO ç _____ • - • • • -t) • • CERTIFICATION OFCOMPLIANCE/ I HEREBY CERTIFY THAT I AVEINSPECtED ALL OF THE ABOVE • REPORTED WORK, UNLESS OTHERWISE NOTED I HAVE FOUND THIS &IGNATUREOEGISTERED INSPECTOR WORK TO COMPLY WITH THE APPROVED PLANS SPECIFICATIONS.& 5 72-_,422? C"'-tJ ( -' APPLICABLE SECTIONS OF THE CITY OF SAN DIEGO BUILDING LAWS. • DATE OF REPORT REGISTER NUMBER COVERING WORK PERFORMED DREINFORCED CONCRETE DSTRUCT. STEEL ASSEMBLY WHICH REQUIRED APPROVAL BY DPRE-STRESSED CONCRETE DREINFORCED GYPSUM DGLUELAMFABRICATION THE SPECIAL INSPECTOR OF DREINFORCED MASONRY DPILE DRIVING DOTHER JOB ADDRESS 231-2615 Golden Bear Place NO. 1 of 1 FOR WEEK ENDING 5-20 1983' OWNER OR PROJECT NAME InterAmerican DeveloDment BLDG.'PRMIT NO. 82_428 PLAN FILE NO. CONSTR. MATL (TVPE.GRADE.ETC.) ARCHITECT Brown _Leary DESIGN STRENGTH SOURCE OR MFGR. ENGINEER Helt DESCRIBE MAT-L. (MIX DESIGN. RE-BAR GRADE & MFGR.) Grout:' Anker-Tite GENERAL CONTRACTOR Hannah-Gillird CONTR. DOING REPORTED WORK 1V1Q LAP RECEIVING & TESTING CONSTR. MAT'L SAMPLES I1SPN. DATE LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN', WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC., Includes information about amounts of material placed or work performed;r.umber, type, and identity numbers of test samples taken; structural connections (welds made, h.t., bolts torqued) checked; etc. Concrete Inspection InsDected the drilling of the holes for the missing tie-down in the footing of bldgs. 15_i? Continued the inspection of the drilling of the holes and. the placment of the #15 rebar to the' depth of 9". Inspected bldg. #'4. 15-19 Continued thp inspection of the drilling of the holes of the missing tie-downs . Insceted.bldgs. /1 3-6. ' 15-20 Continued the inspection of the above problem. Today I 'ins-pected bldgs. #3-6 . CERTIFICATION OF COMPLIANCE HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS SPECIFICATIONS,& APPLICABLE SECTIONS OF THE CITY OF SAN OIEGOI3uILDING LAWS. SIGNATURE OEfr(EGISTERED INSPECTOR 20 N1 ay DATE OF REPORT , REGISTER NUMBER 20165 QUESTHAVEN ROAD ESCONDIDO, CALIF. 92025 (619) 744-0146 COVERING WORK PERFORMED ORE INFORCED CONCRETE DSTRUCT. STEEL ASSEMBLY WHICH REQUIRED APPROVAL BY OPRE-STRESSED CONCRETE DREINFORCED GYPSUM DGLUE-LAM.FABRICATION THE SPECIAL INSPECTOR OF ' DREINFORCED MASONRY OPILE DRIVING OOTHER JOB ADDRESS FOR WEEK 2431214.6 Golden Bear Place NO.1 of I ENDING -27 1 83 OWNER OR PROJECT NAME BLDG. PERMIT NO. PLAN FILE NO. InterAmerican Development 82-428 CONSTR. MATL (TYPE,GRAOE.ETC.) • ARCHITECT Brown Leary DESIGN STRENGTH SOURCE OR MFGR. ENGINEER HeliX DESCRIBE MAT'L, (MIX DESIGN, RE-BAR GRADE & MFGR.) GENERAL CONTRACTOR _jiannah-Gillprd CONTR. DOING REPORTED WORK LAO RECEIVING & TESTING CONSTR. MAT'L SAMPLES INSI' N. DATE.* LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS,. REMARKS, ETC., Includes information about amounts Of material placed or work performed; number, type, and identity numbers of test samples taken; structural connections (welds made, h.t. bolts torqued) checked; etc. Concrete Inspection Inspected the footings for missing. tie-down bars ber the• • instruction of the engineer. • Unless noted all holes for the tie-down bars met with the instructions of the engineer. ;5-23 Continued the irspetion of the footings for missing tie-down Today I insnected bldg. # 3-6. 5-24 Continued the inspection for missing tie-down bars and the , correction to the nroblem areas. Inspected bldg. • L Grout being used Anker-Tite. Denth of all 'holes for tie-downs is 9'. ' This report concludes' the inspection requested br the engineer. All problem areas have been corrected.and now meet the specifications set 'forth by the engineer. CERTIFICATION OF COMPLIANCE ' ' ,.-(,t S, I HEREBY CERTIFY THAT I HAVE 'INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED I HAVE FOUND THIS . SGNATI:JRyOr REGISTERED INSPECTOR WORK TO COMPLY WITH THE APPROVED PLANS SPECIFICATIONS& ' 52483 APPLICABLE SECTIONS OF THE CITY OF SAN DIEGO BUILDING LAWS. . DATE OF REPORT ' REGISTER NUMBER