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