HomeMy WebLinkAbout2453 IMPALA DR | 2455 IMPALA DR; BLDG 5; 82-428-5; PermitIM
•', USE BALL POINT PEN ONLY & PRESS HARD'
V
, V . APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
;LJJ hrebb7.fllrm.th'at'Ian1'licensed under. V ç,Vprovlaiona.ofJChapter9(commeflclflg with
- •1— Section ,7O0O)of V DlVisi0rrV'3 of,,the Business
and. Professions Code, and my. license is In
- -full force and effect?-..._,,. ..,,. .a..,.
IICV No. ___________ .,L,_ Class
-
I hereby, affirm.that I am exempt from the Contrac- V r tor's.; License Law tor the following reason (Sec. 1031.S V
t 11 V Business'and,Protessions Code: Any, city or county,which re-,, .. quires a permit to construct, alter, improve, demolish, or
repair any structure, prior toils Issuance also requires the ap-
piicant for such permit tot ile a signed statement that he is
licensed pursuant to the provisions of the Contractor's
- -License Law (Chapter 9 commencinq with Section 7000 of Division 3 o the Business and Professions Code) or that lseo' 1 empt therefrom and the basis for the alleged eeemption. Any
violation of Section 7031.5 by an applicant for a permit sub-
..)ects the applicant to a civil penalty 01 not more than live hun I. - '• dred dollars ($500). - - '' " '
• e - . • . - -,
, 0 I, as owner 01 the property 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: 4The Contractor's License-Law does
. 5 . not apply teas owner .01 property.who builds er.lmproves
thereon and who does such work himself or through his own
employees: provided that such Improvements are 001 intend-
- :ad or offered for sale. If, however, the building or improve- -
Z moot is sold within one year 01 completion, the owner-builder - - 39 will have the burden of previogthat he did 001 build or im-
prove for the purpose of sale).
-'.. •V, 'y .' ' ., k, '' , .,'xO
- ' 0 I, as owner of the property, am exclusively contracting
with licensed coolractors to construct the project (Sec. 7044,' t./• Business and Professions Code: The Ceotracter's License -
Law does not apply to an owner, of property who builds or im-.
-. ,.proves'thereoo, and who contracts for each projects with a
I V (I) 'E , Contract oils) license pursuant to the Contractor's License Z ..Law)
-- 0 As a homeowner tam improving my home, and the follow- i ) 4 • leg conditions exist: - -. -. ..- - '-C - -
- , * I The work is being performed prior to sale. - 2. I hove lived 'in my home for twelve months
- . -- prior to completion of this work. . •
3. I have not- claimed this exemption during the 0 ' last three years. a
0 f urn exempt under,Sec. ' ' , B & PVC?
for.this reason
Cr 1-S
- 0 thereby affirm that 1-have a certificate of consent ..'j
''fo' self-insure?, or a certificate of Workers' -
r Compensation insurance. or a certified copy thereof - ' (Sec. 3800, Labor Code).
-. -z POLICY NO.
COMPANY ' • V.,
' 0 Copy is filed with the city.
Z - . ' ". •. •- • -,
LIJ - 0 Certified copy is hereby furnished,"— -.
- ,* '-'a' o - CERTIFICAIE'OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE V
(This section need not be Completed 1 tlre.permit j is for one hundred dollars 191001 or less) UA
--'0 I certify- that in the performance of the work lor....j.
0 \which this permitis issued, I shall not.employany,.., - . 3 person in any manner so as to become subject to -
' '' the Workers' Compensation Laws of California. "'
ah'(.1° ' .NOTICE TO APPLICANT: If. after mak103 this Cent.
i ficate of Exemption, you should become subject to - the Workers' Compensation provisions of the Labor -
. - - ' '-Code, you- must - forthwith comply—with such
provisions or this permit shall be deemed revoked. -
rf't Olhoveby affirm that, there'-;; construction .( lending agency for the perforflnanCe of the won( for,
I ' which this permit is issued (Sec 3097. Civil Codel
- z , •.-.... •/- .
- Wi' Lender'sName
-''-'I .--' - •• 'aj,r. -
Lender's Address ' I
'"'-'V "'
CARLSBAD BUILDING DEPARTMENT - - APPLICATION & PERMIT '
Elm Carlsbad, California 92008 1989 A9) 438-5525 — -Ila JOB A DRESS /Pt P.4- L A rp9i U AV. ST, DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER
RD.
ZONE OWNERS NAME OWNER'S PHONE CONTRACTOR . CONTRACTORS PHONE $
14l 9H?i #AAI4IA/( (,?/?D Ca
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS gt7d..4 LICENSE NO, PLAN 1.0. # ' • - BLDG USE CODE -
?kf)i(J14P73Sc2&3 -• -.
LOT BLOCK SUBDIVISION S$ SOR PARCEL Nt. 9/2S DESIGNER LICENSE # STANDARD PLAN # - BUILDING SO. FOOTAGE
DIPTl NOF WORK TV r4 DESIGNER'S AODRESS5u(73/4 / DESIGNER'S PHONE . -- •• r- , ' - ,
'-Y'-
- 1 9 * •
'T'
____________
-1/L-7 Ic'S
-• CENSUS TRACT V 'GP LAND USE - PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT ,,VE 0CC LOAD FIRE SPR -
AREA
Y O o o vO N v ND Not,Va/,d Unless Machine Certified -
QTY " "PLUMBING PERMIT ISSUE
" 3 OTY MECHANICAL PERMF1 ISSUE -- SUMMARY/AC@Bg WMBE 'TB3 9
EACH FIXTURE TRAP- - - 4 INSTALL FURNV DUCTS UP TO 100,000 BTU . - - BUILDING PERMIT .. 01-00'00-8220 p
- EACH BUILDING SEWER, ' -- ' - -- • ' - • OVER 100,000BTU - - -' - ,- , - SIGN PERMIT - - -. 01-00-00'8221 - • - - - -
EACH WATER HEATER AND/OR VENT . -. ' BOILER/COMPRESSORUP TO 3 HP - - • PLAN CHECK • 01'O0-OO-8806 7 4_, o
EACH GAS SYSTEM 1-TO 4 OUTLETS , BOILER/COMPRESSOR 3-15 HP • ' - , - TOTAL PLUMBING - 01-00'00-8222 '
. - EACH GAS SYSTEM SORVMORE FIREPLACE-'-.' '- -- ,, - _METAL -i. '-.- -- ELECTRICAL - -• '- 01-00'00'8223 - ."
"j 'EACH INSTAC. 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) ' I ') •' ' .t SOLAR"' t, 01 00 008226 P
MECHANICAL STRONG MOTION .' 80-9,2-33-0619
- ,j TOTAL PLUMBING1 FIRE SPRINKLERS 01 00008227
PUBLIC FACILITIES FEE 320000 892 _—
QTY, n- •ELECTRICAL PERMIT -'ISSUE- I QTY. ' ','m, SOLAR - ISSUE -' - - - ,.. ,
,i,.,---i. , u. - - ,. -- -'.,,s-.,..,,.-, - e • BRIOGE,FEE. _,, ',,•,,,
l NEW CONST EA AMP/SWT/BKR " * COLLECTORS , 'SCHOOL FEE DISTRICT
'1 PH'-21 PH ' '- - ' V STORAGE TANKS tCarISbdi -R', 80-92-21'O519"
'x EXIST BLDG EA AMP/SWT/BKR * ROCK STORAGE i".' - ' EnCunulaS ,- 8092 220519 - - — -
1 PH 3 PH
-
PUMP ' San Dueguu(o ' 8O 92 23 O519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE '•'
C 'San Marcos ?"'',-'f'80-92-24-0519 1'
TEMP POLEI
' OVER 200 AMPS"-'4 ',- "-
-
.92 e6R"k r 'G 4.119.
.,.,._., TEMP OCCUPANCY (30 DAYS) s-tat a
_71- - . r•-.".'' -*i.s-*.-' i- 1•- - . - , .• . -
TOTAL ELECTRICAL a
* '-"TOTAL SOLAR % C
"TOTALFEES PAYABLE
.'
HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION'-AND PERMIT" AND DO HEREBY 0 Expiration. Every permit issued bytheBuilding Official undertheprovisionsofthis AN OSHA PERMIT IS REQUIRED FI TIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE authorized bll eo0hl5Y limitation and become null and void, lithe building orworls permit is not commenced within 180 days from the date of such -5'0" OEEP AND 0EMOLITN OR CTiON OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit or 1f51the building orwork authorized by sunperrsusndeOr STRUCTURES OVER 3 STORIES IN !HEIGHT
BUILDING CON- abandoned at any lime after the work in commenced for a period of 180 dayo.
STRUCTION; WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND -APPFft)VED'BY%",~~ T
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING _________
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND APPLICANT' S-,SJGNATURE//* OWNER 0 CONTRACTO T
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT.
C) C) 0. (it C
C)
INSPECTION TYPE DATE INSPECTOR
BUILDING -
•
- FIELD INSPECTION RECORD 4 - -..
FOUNDATION \ , REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES REINFORCED STEEL 'J" - /- 1 -'
., -.
MASONRY INSPECTION CHECKED
REO. IF IN
APPROVAL
SPECTORS DATE J'ti4i4
GUNITE OR GROUT ______ '
PRIOR TO ,'-.
SOILS COMPLIANCE FLOOR & CEILING SUB FRAME ,•• -,
r FOUNDATION INSP
SHEATHING __________ ______ 54 Z STRUCTURAL CONCRETE
F RAME
EXTERIORLATH1NSULATION'.- t
PRESTRESSED
CONCRETE
CONCRETE i INTERIOR LATH &DRYWALL
POST TENSIONED
At
FIELD WELD;NG-.
SEWERANDBL/CO !— ..1IGI-IST E TH - - --- -
4 t Fd7 PLUMBING UNDERGROUND B9ff WET6_3S
1 -
PLUMBINGTOP.OUT, ' ';-'
__ )PECI MASONRY
TUB AND SHOWER PAN
-. 2--
GAS TEST PILES/CAISSONS ' --'- '•;-''- - -- ___________________________________________________ # I ofik 4 -E•LECTRIC4AL Irk --'i ;14
-, TEMPORARY POWER
_____________ _____ _____ 4.
'V -
Is ELECTRIC UNDERGROUND?".. t. lz "
ROUGH ELECTRIC - - -• " r
I r - -.
x ,.'
,
'3-
ELECTRICSERVICE
_______
BONDING ' . 'r .tg — '-- i J. v ..
G.FI.—SMOkE-"4DETECTOR
----
MECHANICAC
- ki.
-
DUCT4& PLEM.REF. PIPING'
HEAT — AIR COND. - SOLAR SYSTEMS.;,
VENTILATING SYSTEMS
CALL APPROPRIATE FOR FINAL INSPECTION WHE5ALL
ITEMS ABOVE HAVE BEEN APPROVED . 4 - -
,,, ;_.,•
— S -' 'V - . 4.fr.'4 _, - j_, -
JOBSITEFINAL'
PLUMBIrs1G
ELECTRICAL.
MECHANICAL - -
-
- L-' L--
SPECIAL CONDITIONS
CERTOFOCCUPANCYISSUED '--'
_______________ - ---'Vr---.--- - •.'-----k ,. -4- --'-'r- -- ----
'V 4 '','V.'.t - '4-:'-4 •-4 -
1.
- I_i
--
-
- ' . •- ., • . t'' 14I -
- '-'-i ,s.'r;t
APPLICANT TO FILL IN INFORMATION WITHIN'SHADED AREA AND DECLARATIONS.
-. , ..., ----------.. "CARLSBAD BUILDIG DEPARTMENT -' .... APPLUcAtIØN &'PERMIT'
"'-1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS - AV. ST. A14 RD.
DATE OF APPLICATION1 W LICENSE # VALUATION PERMIT NUMBER
OWNER'S NAME OWNER'S PHONE
erlr.- CONTRACTOR CONTRACTORS PHONE N ZONE,,
OWNER'S MAILING.ADDRESS CdNTRACTOR'S ADDRESS 5' j
C
LICENSE NO, PLAN 1.6.4 BLDG USE CODE
LOT I BLOCK SUBDIVISION ASSESSOR PARCEL NO. DESIGNER
DESCRIPTION OF WORK
LICENSE # STANDARD PLAN # BUILDING SO. FOOTAGE
Irh DESIGNER'S ADDRESS DESIGNER'S PHONE
i'/I
Not Valid Unless Machine Certified
-
F/P FLR ELEV.
Y.DND
NO
STOES
OCCGP
,
EDU
CENSUS TRACT OP LAND USE' PARKING SPACE RES UNITS GRADING PERMIT ISSUED
--
YO Nn
REDEVELOPMENT AREA - , ,'
Yo ND
'''
TYPE
CONST
0CC LOAD
'
FIRE SPA
'
YD NO
QTY PLUMBING PERMIT-,ISSUE r75 QTY MECHANICAL PERMIT ISSUE SUMMARY/ACCOUNT NUMBER
' EACH FIXTURE TRAP' - ' - INSTALL FURN. DUCTS UP TO 100,000 BTU - ' . BUILDING PERMIT 01-00-00-8220
- EACH _BUILDING'SEWER__--"'" .__' ' .''."OVER_100:000iBTU -' . . SIGN PERMIT -.---- 01-00-00-8221
iog CouditiOOs cutst:-._. EACH _WATER HEATERAND/OR _VENT BOILER/COMPRESSOR _UPTO3HP ' PLAN CHECK 01-00-00-8806 -
EACH GAS SYSTEM 1TO 4OUTLETS _
- T -
8OiLERIC0MPRESSOR3.15HP ' TOTAL PLUMBING '.01-00-00-8222
EACH GAS SYSTEM 5 OR MORE " - --- '-, METAL FIREPLACE.-_'.- ___- ____. ', ..ELECTRICAL . _____---01-00-00-8223
- 0 tam exempt under Sec." '-"' , B & P.C. 'EACH INSTACALTER,_ REPAIR WATER _PIPE - VENT FAN SINGLE DUCT __'- ' MECHANICAL _-01-00-00-8224
EACHVACUUMBREAKER MECH EXHAUST_-HOOD/DUCTS MOBILEHOME _01_00008225
WATERSOFTNER __'. ,., __-.,. ,.,,,,. . RELOCATION OF,,EAFU.R,.NACE/HEATER 2..,,,._.... MOBILEHDMEPARKINSP
EACH ROOF_ _: - - '
' :, SOLAR - 01-00-00-8226
MECHANICAL-
- FIRESPRINKLERS' __01-00-00-8227
- ''
.,.,
-STRONG MOTION 80-92-33-0519
TOTALPLUMBING _'-. _'_- '3'''''
- _..,.-
QTY: . ELECTRICAL PERMIT -ISSUE'.',..- - QTY. - SOLAR - ISSLLE,,;,
PUBLIC FACILITIES FEE 32-00-00-8923
BRIDGE FEE
NEW.CONST,EAAMP/SWT/BKR' '
. COLLECTORS, . SCHOOL FEE - DISTRICT
1 PH , ' - 3'PH STORAGE TANKS ' , ' ', - - - Carlsbad 80-92-21-0519 -
CEAlFtCTE"bF EXEMPTION' FROM -EXIST BLDG EA AMP(SWT/BKR ', '- - 2'"'' "- --O STORAGE ' '- ,'.'- -•--." - - -' Encinas '' ' " 80-92-22-0519
- . (This.section need not be completed 'it the perryit, 1 P " - 3 P ... -,:, - PUMP '
'
San Dieguito - 80-92-23-0519 -
REMODEL/ALTER PER CIRCUIT "' : .,.2.' '.' . , PLAN CHECK FEE 1
,
'
. San Marcos - ' - 80-92-24-0519
TEilPOLE,'20AMPS--
OVER -200 AMPS
- ' TEMP. OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL TOTAL SOLAR' TOTAL FEES PAYABLE
J 3 3
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND 00 HEREBY Expiration. Every permit issued by the Building Official under the provisions ofthis AN OSHA PERMIT IS REOUIRED FOR EXC OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expirebyh and become null and void. If the budding or work .50 the date of such " DEEP AND DEMO',OH CONSTRUCTiON
IONS
OF
DECLARATIONS ARE TRUE- AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the buildingor work authorized by such p
authorized by such permit is not commenced within 180 days
ermit suspended or STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time alter the work is commenced for a pedpd of 180 days.
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE OWNEVA CONTRACTOR 0 APPROVED BY V I D E
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
G
EXPENSES WHICH MAY IN ANY - BY PHONE 0 RANTING OF THIS PERMIT.
WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
&V —;~,2aj /;:::!=
USE BALL POINT PEN ONLY & PRESS HARD
,D: ;l herób'y áf1ImTthat'l:ám'licensed under -
o 'provisions
Sóctlon'7OOO)of' Pivlslon '3p1the Buslness,
, iand'rofesslons Code, and my license is in
full fáirce and effect.... L' Lic, No,
i' hereby a ffirm that I am exempt from the Cootrac- -, tors License. Law for the following reason (Sec. 7031.5
8usiness and Pro ions Code: Any citnr county which re-_ quires a pelmit to coostruct, alter, improve, demohsh;'er
- . repair 'any structure, prior to its issuance also requires the ap- - plicaot for such permit to tile .a signed statement that he is licensed pur5000t to the provisions ot, the Contractor's
License Law (Chapter 9 commencing with Section 7000 of
Division 3 at the Business and Professions Code) or that Is en-
empt theretrom and the basis tar•the aaeged enernption Any
violation of Section 7031.5 by an applicant tór a permit sb-
jects the applicant to a civil penalty 01 not more than five h'an'
dred 40a0r5($500). .
0 i, as owner ui-the property,'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
7and Professions Code: The Contractor's License Law does
5 , not apply to an owner of property who builds or improves
- '-thereon and who dues such work himself or through his own
employees, provided that such improvements are not blend-
sal -. . odor offered fur.sate. It, however, the building or improve -
Z heat is sold within one year,nt completion, the owner-builder
will have the burden of proving that.he did not build or Im-
prove for the purpose of- sale). '-'-
- tJ ', as owner of the preperty,'arn exclusively 'contracting with rceased contractors to construct the project (Sec177044. ' 1
2 . Business and Professions Code: The Contractor's License Law does out apply to an owner of property who builds or im- L proves thereon, and who contracts for each projects with a U) 'contractor(s)-license pursuant to the Contractor's License Z ,.Law). 0 . . . -
.0 . As a homeowner tam Improving my home, and the tultuw-
-' I, The work isbelng,perturmed prior to sate.
- 2. I have hoed to my home tor,twetve months
- prior' to completion ot this work. -
-' 3.' I have not claimed this exemption during the last three years.
for this reason
0 I hereby aflirm that I have a certificate of consent -
to sett,insure. or ,,a-.cKerker' Worker " - Compensation tnSuranC 'opy th I
ISe 38 0. Labor Code).'
z POLICY NO.____
COMPANY
o COPYis Iiedwiththe c
0 Cpr1fedcopy is-hereb -'
ILI
U ",'WORKERS' COMPENSATION INSURANCE
is for one hundred dollars t$1I or less) uJ le --O f certify-that in the performance of thework for o wh,ch ,this Permit is issued. I shalt not employ any
- person in any manner so as to become subject to
'the,Worlvers', Compensation Laws of-California.
'jN.:T
- NOTICE TO APPLICA.,II. alter makinj thiS,Cert,-
I icaté of Exemption, vo should become subject to
the Workers' Compensation proéisioes of the Labor
Code, -you must 'forthwith comply .witt5. Such-.,.
prowsi'ons or this permit Shalt be deemed revoked.
.......................
0 rVtereby affirm that there is a construction
I . lending agency to, he performance of the work to,
wh,Ch this permit is ,ssued'(Sec.3097.Ci4il Code). -
-. Lender'sName- - ' ' ......'
Lender's Address
INSPFCTION 'rvpF 1 . DATE INSPECTOR
FOUNDATION
REINFORCED STEEL
MASONRY- , V V (U
t
GUNITEOR GROUT
-
FLOOR.& CEILING'SUB FRAME .
VSHEATHING
FRAME L
EXTERIOR LATH iNSULATION
INTERIOR LATH & DRYWALL *
V PLUMBING V
SEWER AND BL/CO,',,J .
PLUMBING UNDERGROUND
PLUMINGTOPVVOCJT. rV.
TUBVAND SHOWER PAN
GAS TEST —
ELECTRICAL
TEMPORARY POWER • ••V. Vl V.V
rELECTRIC UNDERGROUNb
ROUGH ELECTRIC
V
ELECTRICSERVICE ,•, : V V,
VV V
.'BONDING-
G.F I -,,SMOKE' DETECTOR *
LV. MECHANICA
DUCT-& PLEM., REF.-PIPING V
V,
HEAT —AIR COND—SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
. JOBVSITE:FINAL*.. * 'V
PLUMBING
ELECTRICAL
MECHANICAL. V V V*• V.V i... ______ ________
GAS • V - ,VV.*U
________
SPECIAL CONDITIONS
CERT1OF OCCUPANCY ISSUED '-" • V V
V V V •E 1:: VV
' V VV V •
- -:;: V
V V
FIELD INSPECTION RECORD-%,
REQUIRED SPECIAL INSPECTIONS INSPECTOR S NOTES
4
INSPECTION REO. IF IPPERcJ\?ARLS DATE
— CHECKED -- - -
SOILS COMPLIANCE
PRIOR TO
V .FOUNDATION INSP
STRUCTURAL CONCRETE
:OVER 2000 PSI
•
PRESTRESSED V V '
•V4,V.V, V V . -. CONCRETE V IVV
*V V POST TENSIONED
.
V CONCRETE'
4
V
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V V'
' VV. V - V •I .- V..V .
V V •
. V - V V V 3
*4 -1 V V VV V FIELD WELDING
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VHIGHSTRENGTH 4I • VV V
BOLTS. 'VV
V V r •'U V !VV..&t;
.
V
V .I VVVU4
SPECIAL MASONR'
V V •V 'VU'V V .V V
L - V U j V# sIl; • ,, V •. (V
V V , ,. V Ii •V -V ,p •. 4!-' •V. I PILES!CAISSONS
V V , , V V V. VVVV VVV 4. V V V ,
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V V _ ' . !- 4* •V•Vl U V ' V . V V V
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USE BALL POINT PEN ONj.Y_&.PRESHARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
fl I hereby affirm that I am licsed under
o provisions of Chapter 9(c6mmenclng with,
Section7000) of.Oivlslon'.'3'of the.Business -
l'- and Professions Code, and my.Iicense Win
full force kn4!fect. .,.. ,. , -
zLa l)c.No.X,,_ Class, .' C
'"O '';231671'' -,", a 'ci C)., '1,.,- "-
1. hereby affirm that I am. exempt from the Contrac- r,
2' " a for's license' law for the following reason (Sec. 7031. 5
'Basineds and Professions Code: Any City or.ceunty which.re-
quires a permit to construct., alter, improve, demolish, or repair any structure, prior to its Issuance also requires the up-
'plicant for such permit to tile a signed statement that he Is. a , . •- a licensed pursuant Ito the. provisions xl' the Contractor's •
License Law (Chapter 9 'emmeocing with Section 7000 of - - Division 301 the Business and Professions Cede) or that is ex-a
- - - empt therefrom and the basis for the alleged exemption. iAny 4.'b
violation of Section 7031.5 by an applicant for a permit sub'
jects the applicant to a civil peyalfy of 001 more than five hun'
dred dollars ($500). '
0 I: as owner-of the property, or my employees with wages
"as their sole compensation, will do the 'work, and the Otruc-,
. a 'tere is not intended or uttered for sate (Sec. 7044,'BUsi'ness
and Prolessionn. Code: ,The Contractor's License Law does 5 —not apply to an owner of property who builds or.improves 4 , p thereon and who does such work himself or through his own
employees, provided that such Improvements are not intend--
'Sal ed or offered for sub. If, however, the building or improve-
. Z ' 'ment is sold within one-year of completion, the owner-builder will have the burden of proving that he did not build or im- a : C)4" , 0 prove for the purpose of sale). ' , , ,' - - ' u"
. •'r-' ..I-'. • 0 I, as owoer,of the property, am exclusively contracting '• , with liceosed contractors to construct the project (Sec. 7044,
Business and Professions Cede; The Contractor's License
Law duos out apply to an owner of property who builds er.im-
'proves thereon, and who contracts *for each projects with a en - contractor(s) license pursuant to the Contractor's License Z . Law),-.-- • - . w.- 2 '.-J ''-' . - •i'- ,,'- . " 0 As a homeowner I am improving my home, and the follow-a log conditions exist: cc . 'i 1. ThO work is being performed prior to sale, r'
. 2'. -'I have lived in my home for' twelve months
-' prior to completion of this work.
I have not claimed 'thin exemption . during 'the
- last three years.-; •,_ . '
0 lam exempt under,Se' - r' B & P.C.
L for this reason
Ir
—;-0 -I hereby affirm that Inane a certificate of conent
- - 10 self-insure, Or' a" certificate 01 W0rker5
- Cordipensation Insurance, or a certified copy thereof.
'5(Sec. 3&. Labor Code).,, ' .- ' . .'
NA9500755 Z POLICY NO.
0 , u
CMPA'NV iCOM1€RCIPOL uNION' L
C 0 Copy is tiled with the City. Z
911.
-
.
. * - •.
CeflifiedcopyishrebyIurnished.0, * •'
0 CERTIFICATE OF EXEMPTION FROM '9 . ' WORKERS',COMPENSATION INSURANCE' .'aa
(This.section.need not.be completed it,the.permif,'
is for one hundred doIla.rs,lS10lor less) LU If 0' i"cerlity that in the -performance of thework for I-.. 0 j, 'which this permit'is issued, I Shalt not employ any
person in any manner so as to become subject to .c
- the Woiliers'.Compen'sation Laws 01 CaliIdrnia.' I' ,, • ' 'er :
, , -N'OTICE.TO APPLICANT: It. atrei making this Cerri.. 4 ticate of Ebemption. you should become subject to
•' , ' ' the Workers' Compensation provisions 01 the Labor
.Code. you must forthwith comply withy such-
-,provisions Or this permit shall be deemed revoked
a •.
' 0 I hereby affirm that' there is a construction
I'0CI ,lending-agency for the performance 01 the work for
which this permit is issued iSec., 3097, Civil Coctel
'Lender's Name' LU
Lender's Address
C4 ,. 't
*
- . "aCARLSBAD BUILDING DEPARTMENT e APPLICATION & PERMIT * - a '
' 1200 Elm Carlsbad California .92008-1989 (619) 438-5525 - - -
JOB ADDRESS •7 "7777 77,- AV. ST, OAT TION BUSINESS LICENSE # VALUATION - , - PERMIT NUMBER *
2455 GgL-D-E-N—B-E*R----P-L*eE--- APPLIED FOR
OWNER'S NAME OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE F . -' -ZONE,. • ',
'
PALOMAR' TEC-H.-.CENTRE PARTNERSHIP 7 ' STRINGER ELECTRIC 453-6566
, • .
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS 92038 LICENSE NO, - PLAN I.D# • - ., BLDG USE CODE
3151 AIRWAY' AVE. BLDG G-3 COSTA SA, CA 92626 ' P.O. BOX 2156, LA JOLLA CA 231671 --•,. ''•. - --' ,'-+
LOT OLOOK SUBDIVISION ASSESSOR PARCEL NO. DESIGNER . . LICENSE # STANDARD PLAN # BUILDING SO. FOOTAGE..
- 11573.
DESCRIPTION OF WORK
DESIGNER'S ADDRESS ' DESIGNER'S PHONE -.
,
"• a.. - - .
,
. '
- ELECTRICAL .____________ ', • . '--•-,.',, ', ,. .
' - a. • ,, • EDU
_____________________ - F/F' * 'FLRELEV. - ______
NO
STORIES-' OCCGP -
.a a, - •_.
C.
- . ' • . . - --".*'-'• a - V 0:-NO -
*
' •
-
.-
. ' ' ' -
'
,.••' '--'' ' - '
'a,, •- " • '. - • - -
FIRE SPR CENSUS TRACT, " OP LAND USE' PARKING SPACE RES UNITS GRADING PERMIT ISSUED - REDEVELOPMENT - i' ,TVPE., 0CC LOAD
:--'' ',i' "a "- ' -a. , - - ' - •.i , OnN
AREA
vO saD i ',
CONST
.,
I
," vOND
"
' Not Valid UnIessMachineCert/fied
QTY PLUMBING PERMIT ISSUE"
-'--"n
QTY
ti''o
MECHANICAL PERMIT ISSUE
'.,.• - -._'-,'' a'_t,.. ,'-
SUMMARY/ACC0UrT NUMBER ,a'
- 3
EACH FIXTURE TRAP - * , a' .. / - , u'.-', INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT' ' • w 01'90-00'8220
''f' EACH BUILDING SEWER.'__" '_..' -,.., _•: - , _•'-'' __''OVER100,000BTU - '--- - .- - SIGN PERMIT - ' - 01•00-00-8221 - - ,- ' J.
- -EACH WATER HEATER AND/OR VENT - , - ' - ' BOILER/COMPRESSOR UP TO 3 HP •i ' • 'e- - -, - ' ,PLAN CHECK - • 01-00-00'8806 - '- ' 4 • '
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTALPLUMBING 01-.00-00-8222
-
EACH GAS SYSTEMS OR MORE '- " - METAL FIREPLACE - '- ' , ELECTRICAL 01 00008223
EACH INSTAt. ALTER REPAIR VkATER PIPE -i " VENT FAN SINGLE DUCT I" MECHANICAL 01-00-00-8224-
EACH VACUUM BREAKER MECH EXHAUST - HOOD/DUCTS ,'u' ,.. MOBILEHOME ' 01-00-00-B225 71.
WATER SOFTNER' RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF D RAIN (INSIOE) - •,'. ,,, :4 :'
•• - - ,,rci,, - SOLAR "- - ' 01-00'00-8226
-i
TOTAL MECHANICAL •• STRONG MOTION ' a -,8092330519
TOTAL PLUMBING FIRE SPRINKLERS - - 01-00-00-8227
, , - • • • d ' PUBLIC FACILITIES FEE : •32-00'00-8923 QTY ELECTRICAL PERMIT ISSUE QTY SOLAR ISSUE BRIDGE FEE,'a " a
., NEW.CONST EA AMP/SWT/BKR ' " .",- .'' • * '' COLLECTORS ' '- , .' , -,..,' -"SCHOOL FEE -:DISTRICT
3 PH 400A 200 00 STORAGE TANKS " Carlsbad 80-92-21-0519 'a
I4 EXIST BLDG EA AMP/SWTIBKR an' ROCK STORAGE ' a- Enclnitas ' a' ' 8092220519
,,,' _1 PH .- - - 3 PH PUMP ,, San Olequllo ,. '8O 92 230519 'a
" REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE. ' ,, 'a'* San .Marcos- 8092240519
TEMP POLE 200 AMPS -" " - 'a' 4 .,• 4 5 ,j
' OVER 200 AMPS " ' " ' a _______________________________________ ,.
TEMP OCCUPANCY (30 DAYS) ' I r ,i
2 (1),, 6OA 3-9/(1) 30A 1- - .-37 50
TOTAL ELECTRICAL
54Q
'C I TOTAL SOLAR TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions o(this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER - Code shall expire by limitation and become null And void. If the building work CERTIFY UNDER PENALTY OF PERJURY THAT-ALL INFORMATION HEREON INCLUDING THE authorized by such permit is not.commenced within 180 days from the clate0orf such -5'0'* DEEP AND DEMOLITION Oft CONSTRUCTION OF
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
ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- - ISSUED: TO-COMPLY WITH abandoned at any time after the work is commenced fore period of 180 days.
-STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLI°'2NT'S SIGNATURE ' 0 ' - 1' APPROVED BY " ' DATF - - ,KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND - OWNER -' CONTRACTya **
WHICH.MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ,EXPENSES 8 PHONE 0 GRANTING OF THIS PERMIT. a,4_=UZ1A 44-22 i'5
- ' ' :; - ' -• . -: • •...,,.__-_-. :--- . •----'-;-• I'- --" .ui'vr'i..."Y ' , -
- - • - . -'
44 ,
IMPr.TIflN TVPF DATE INSPECTOR
BUILDING,
FOUNDATION
REINFORCED STEEL -
MASONRY
GUNiTE OR GROUT
FLOOR,& CEILING SUB FRAME
SHEATHING'- .
FRAME
EXTERIOR LATH iNSULATION •'..
INTERIOR LATH & DRYWALL - 1
. PLUMBING.
-
.
SEWER-AND B L/CO
PLUMBING __UNDERGROUND
PLUMBING .TOPOUT r
TUBANDSHOWERPAN .
GASTEST
ELECTRICAL
TEMPORARYPOWER
LECTRICUNDERGROUND.
s ROUGH ELECTRIC -
ELECTRIC SERVICE_______'
BONDING
G.F.I.'-SMOKE 'DETECTOR
MECHANICAL _'i'
DUCT&__P.LEM.,REF.,PIPING .-.' ...
HEAT - AIR'COND. _SOLAR,SYSTMS
VENTILATINGSYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPR/ATE
I,TEMS ABOVE HAVE; BEEN APPROVED. -
JOB SITE FINAL.
PLUMBING
ELECTRICAL.
MECHANICAL
GAS-'
BUILDING-t .. •. - 1 _______ __________
SPECIAL CONDITIONS .
CERT OF OCCUPANCY ISSUED
e.
FIELD INSPECTION RECORD -
REQUIRED SPECIL fNSPECTIONSt, . -. .. INSPECTOR'S NOES
REQ. IF INSPECTOR'S 'iN PECTION S CHECKED APPROVAL DATE - - . --'---- - -- . -
SOILS COMPLIANCE
PRIOR TO FOUNDATION INSP
STRUCTURAL CONCRETES.
OVER 2000,PSI
PRESTRESSED
CONCRETE','
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
- 4•_._..• A '., •
14,
- - * - . - . .._ - . .._ * - ..*.,.* .... - . .. . . . ,•. -. - _.*.,. - s, - . ..- . . - .5,. - . - ..,_ a '_,. -
a)'
I) - USE BALL POINT PEN ONLY & PRESS HARD
0-I heieby'afflrm'that lam ltensed under
provisIons of Chapter 9 (commencing? with
Sectlon'7000) of Division 3 of the Business
,"and. Professions Code, and my license Is In
Z
fuIIforcea
Class
neffecf..j
I hereby affirm that I am exempt from the Contrac- •
"-toris' License. Law for thetotlowing reason (Sec. 7031.5
'Business and Professions Coda: Any city,or county, which e-_
quires a permit to construct, alter. 'improve, demolish, or
- ' 'repair any structure, prior tails issuance also requires the ap-
plicant for such permit to tile a signed statement thaihe is
licensed pursuant to the, provisions of the Contractor's
License Law (Chapter 9 commencing with Section 7000 of
Division 3 of the Business and P(otessions Code) or that is ex-
empt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by an applicant 10r a permit sub-
jects the applicant ma civil penalty of not more than five hun-
dred dollars ($500(. '
0,1, as owner of the property, or my employees with wages
as heir 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 licenau Lawduq ' -
5. not apply to an owner of property who builds or improves
thereon and who doeO'sach work himself or, through his own
employees,' pruaided that such improvements are not intend-
-1111A ' ad or offered ,for sale. If, 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):
'I, as owner of the property,' am en'ctuslvely contracting
-, With licensed—contractors to construct the project (Sec. 7044.
Business, and Professions Cede: The Contractor's License -
Law does not apply, to an owner of property who builds or im-
III uves'thereon, and,who contracts for each projects with a
FA conlrãctor(o( license pursuant to the Contractor's License Z Law(.,. 0'
D As a homeownert am Improving my home, and the follow- 4 '. ing conditions exist: "- 1. The work is being.pertormed prior to sale.
2,' I have lived in my home for twelve months
,j ' - prior to completion of this work, '-'- w 1'.- c , 3, , I have not, ctaimed' this exemption during the
last three years.
lam exempt en'do'r Sec '_- ' ' ' .,B& P.C. for this reason
t hereby affirm that, have a certificate of consent -
to setfinsure, or 'a certificate of Workers'
- Compensation Insurance, or a certified copy thereof
- '• 'NA 9
,Laboor Code).,
50O755 -
Z POLICY,NQ_
2' 'COMPANY'_COMNERCtAL UNION
0 Copy is filed with the city.
Z , UA Certified ,copy is hereby furnished.'- -
, CERTIFtCATEOF, EXEMPTION'FROM' WORKERS' COMPENSATION INSURANCE
is for one hundred dollars 15100) or less) UA
0 I certify that in the performance of the work for -
,',,,wh,Ch'th15 Rermit is issued, I shall not employ any
person in any manner so as to become subject to
the Wo?fuers' Compensation Laws of California.
.-'NOTICE TO APPLICANT: If fl after making this,Ce,.
ficatR of Exemption ' nemption. you should become subject to
er the Works' Compensation provisions 01 the Labor
'-Code, you must forthwith Comply, with, such
proihions or this permit.shall be deemed revoked.
T o 'hereby' affirm that there is a 'construction
UJ lending agency br, the performance of the work for -
which this permit is is.ued'lSec 3097.Civil Code).
LAI "-Lender's Name .
.
L Lender's Address
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT ' " '' - APPLICATION & PERMIT - -' - 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS
7J
AV. ST. DATE OF APPLICATION BUSINESS LICENSE #
,
2453 - 2/15/83 APPLIED FOR
OWNER'S NAME OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE
PALOMAR TECH CENTRE PARTNERSHIP STRINGER ELECTRIC 453-6566
VALUATION PERMIT NUMBER
ZONE
OWNER'S MAILING ADDRESS
3151 AIRWAY' AVE. BLDG G-3 COSTA MESA, CA 92626
CONTRACTOR'S ADDRESS, 92.38
P.O. BOX 2156, LA JOLLA CA
LICENSE NO,
231671
PLAN ID. #
-
.
BLDG USE CODE
LOT I BLOCK SUBDIVISION ASSESSOR 11 3 DESIGNER
DESCRIPTION OF WORK
LICENSE # STANDARD PLAN # BUILDING SO. FOOTAGE
DESIGNER'S ADDRESS
ELECTRICAL
DESIGNER'S PHONE
Not Valid Unless Machine Certified
-
EDU ' F/P FLRELEV. NO
STORIES
0CC OP
CENSUTRACT' GP LAND USE PARKING SPACE RES UNITS GRADING PERMIT ISSUED
.-...,-
Y O N 0
REDEVELOPMENT
AREA ,,
YO NO
''
TYPE J 0CC LOAD
.CONST
FIRE SPR
YO NO
CITY . ' PLUMBING PERMIT--ISSUE . oTy: MECHANICAL PERMIT -'ISSUE ' SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP' . ' .' ' INSTALL FURN.OUCTS UP TO 100,000 BTU - ' ' BUILDING PERMIT 01-00-00-8220
EACH BUILDING SEWER - - .....- ' OVER 100,000BTU - -. . , - SIGN PERMIT , 01-00-00-8221- . . :......
,,EACH WATER HEATER AND/ORVENT ' . BOILER/COMPRESSOR'UP TO 3 HP' ' PLAN CHECK 01-00-00-8806
EACH GAS SYSTEM I TO 4 OUTLETS . - , .
..-
BOILER/COMPRESSOR 3.15 HP ' , TOTAL PLUMBING 01-00-00-8222 '
EACH GAS SYSTEMS OR MORE ," . - --, - -' '. -METAL FIREPLACE .-.' - . .-' . . ., --.--. ELECTRICAL -..-.- 01-00-00-8223 .
-. ECk'iNSTAL:, ALTER, REPAIRWATER PIPE ' , VENT FAN SINGLE 'DUCT - , . , MECHANICAL . 01-00-00-8224
EACH VACUUM BREAKER' ' " ' , - , MECHEXHAUST -HOOD/DUCTS __-..
'....., _'
'MOBILEHOME ......01-00-00-8225
WATERSDFTNER , _,.. _. ...- _- . RELOCATIONOFEAFURNACE/HEATER - ..'- MOBILEHOMEPARK_(NSP -.,-...-'.-'.-.
EACH ROOF DRAIN _(INSIDE) , . ' .- SOLAR _____01-00-00-8226
'TOTAL MECHANICAL' '
, '
TOTAL PLUMBING ---.-'.-FJRE
'''''STRONGMOTION''''' __80-92-33-0519
SPRINKLERS _01-00-00-8227
QTY ELECTRICAL PERMIT - ISSUE: '.-' -. _500 QTY.
,r
SOLAR - ISSUE
PUBLIC FACILITIES FEE 32-00-00-8923
CONST EA AMP/SWT/BKR
BRIDGE'FEE
NEW COLLECTORS - SCHOOLFEE _DISTRICT
-pi - _400A 200,00- STORAGE TANK~ _____'.' .'. Carlsbad 80-92-21-0519
EXIST BLDG-EA AMP/SWT/BKR - ' , - ROCK STORAGE Encinitas _'-.-:'--"'80-92-22-0519
(This section need not be completed if the permit i_PH _',_ 3PH PUMP ___, ',-.. ' SanDjegu_to ___80-92-23-0519,
REMODE L/ALTE R PER CIRCUIT, _' _' . ' PLAN CHECK FEE '- tan Marcos '80-92-24-0519
TEMPPOLE200AMPS"
OVER200AMPS __'---..','.'"
= TEMP OCCUPANCY (30,D,AYS)
TOTAL ELECTRICAL
osoo
TOTAL SOLAR TOTAL FEES PAYABLE
40
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued bythe Building Officiaf under the provisions ofthis 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. If the building or work -5'0" DEEP AND DEMOLITION OR CONSTRUCT014 OF authorized 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 buiIdin or work authorized by such permit is :usp:ndedor STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time al(er the work is commenced for a period of180days.
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AP ICANT'S SIGNATURE * OWNER 0 STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND CONTRACTO APPROVE
,
DATE
GRANTING OF THIS PERMIT.
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF :~~
S çJPHO E 0
0' a, Q. U3 C
BUILDING .... ''•
FOUNDATION' ' - .' . :
REINFORCED STEEL
MASONRY
GUNITE ORGROUT
FLO OR, & CEILING SUBFRAME
SHEATHING:
FRAME-.'
EXTERIOR LATH INSULATION
INTERIOR LATH & DRYWALL
•- •. PLUMBING '
'-SEWER- AND BL/CO
PLUMING UNDERGROUND
PLUMBING;TOP. OUT..
TUB AND SHOWER PAN .-.-
GAS TEST If
-.ELECTRICAL
EMPOF(ARY POWER.
$LECTRIC UNDERGROUND .. , 's
-
•
ROUGH ELECTRIC
ELECTRIC SERVICE'
.4. 4 BONDING.
-G F. 1. - SMOKE DETECTOR
MECHANICAL2''
DUCT &.P.LEM.,4REF PIPING
HEAT'-'AIRCÔND.-- SOLARSYSTEMS' '
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
.4.
I. - •'-:..
- INSPECTION TYPE I DATE INSPECTOR
.4* -.# \* Q4" •• -
-4.-- .- --
a
-. - " 4 * -. - -- - A -, . - - .' - 4 4. -'4.- -5 - - - -
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS 4 " INSPECTORS NOTES,.
INSPECTION REQ IF INSPECTOR'S . • ; /, .1 •
• CHECKED APPROVAL PATE .
4. -. -- - .. '-. ....-• -•
SOILS COMPLIANCE COMPLIANCE PRIOR 10 ,- . - ,,- . . . - - -
FOUNDATION INSP - . - -. - . -
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED - '. •' p CONCRETE
POST TENSIONED
CONCRETES
FIELD WELDING I , r
HIGH STRENGTH - -- ..'. • - -- ,- . - - BOLTS . . . . - . .. -
14 - 4'• 4 - 0
SPECIAL MASONRY * - . -
-
.t_ _
- - ..
4.
'S. I .• - -
--
:.- t -. '- - -. ;•._.,,- ,-_
-PILES !CAISSONS- ' -• . - - _ _•''4••_4 / - 't•Y - .2- s -, -'.a - 1 4',' •1
- .- _5.• --.-S
,0
-'' '- .1 - .--- . -. --
• - . '
I ------
a -, O,,, '-', - • -' a. .. .D '- -
* - - -. a.'- . -4. . -•• -' -- . . 4, t•. . -
- •.-! - a."": .• - . ..
-- --_' ,,. ,.'.a.; -,v' -4.. '• 1-'--..• . . ___ ..-:
a. :--
- -- ' . 4'p-,. ., , g . , • 44.;
•,
.'.. ,. . . 4 -
- ' .. - . ,.. - -'
• - . .- - - - --. . - - - -.. - -- - -
4 • S
5*-,. ,,, -1• ..-:-
- S - - . 9 . 4 I • - - S
• .-,. S 1-- • _________ I.- ''• . ••4• .-, 4. 4., . 4. .,• .'-•- - - . - S -• •44.. - - .-. .4 a- - - - * ,• .4.. - - ' - - -4. - - I
'I•-. S 4••• , -. - •• .-
• •• -, • - , ,- :- - - .
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.. .._9 4, • a... - . "4... - -...•.. -
- •sf.o _ - - _ •, I - - %0f • - - . . .4 -•- ,. - ' • : -
*
-
-S '4 5 -.4 f 4' a. . t• 4 - S 45
-,
54.• S 54.•• 5 S '4 , ,
•- .1 -.4 . - -. 4, ,-4.
,
- -, - .- I "' ••• . -.
- . '• . , -1. 4.4. p..a. -
. a - -4 *. - -a. 4.•. - I-•-•.•---_ -
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- . - . - . •
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4..r ,.' . ,- - - - -a-' - • - .,'5 - •
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a.-'- -. *
a ,-.4 ,
_:.'-. • -I - .
- 4- - . . -4-,, • . ' • -: . .- A • - j-. '4''.;. ... .' - . •- -'
• . 4, -, -f' :. - • . - - I , -. . *-----------p - - -_ •"- -_-- - - . - r- - -- - - . - --.-' -- - - _ -44- - -•- 1. ------_ - - - __ -. _ _-__ ......... . .. .....z. .. - . _,: -
4- • '' 5*1 45' - . . . - 'I4t • -. 'M .. • 4•• 45 •F4 - .q4
Wyman .'
Testing .'
Laboratories
20 165 QU ESTHA yEN ROAD
ESCONDIDO, CALIF. 92025
(714) 744-0146
rCOVERING WORK PERFORMED DREINFORCED CONCRETE DsTRuCT. STEEL ASSEMBLY
'WHICH REQUIRED APPROVAL BY OPRE-STRESSED CONCRETE DREINFORCED GYPSUM DGLUE-LAM.FABRICATION THE SPECIAL INSPECTOR OF
-
DREINFORCED MASONRY DPILE DRIVING MOTHER Field Welding
Jog ADDRESS ,
Addresses Listed Below JFOR WEEK
I 0 19
- OWNER OR PROJECT NAME
.Interamer Dey
BLDG. PERMIT NO.
32-428
I' IL FILE NO.
I CONSTR. MATL (TYPZ.GRAOE.ETC.) ARCHITECT
Brown Leary OESIM STRENGTH SOURCE OR MFGR. ENGINEER
Helix DESCRIDS MAT'L. IMIX DESIGN, RE-BAR GRADE & MFGR.)
Mat'l ASTM-A36
GENERAL CONTRACTOR
Hannan Gillard
Eletrod,e E.-9018 B2
CONTR. DOING REPORTED WORK
M.Q. (weldinby Hawkins")
Reinforcing steel ASTM A61 '
LAD RECEIVING & TESTING CONSTR. MATL SAMPLES
ISP
DATE
LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS.
REMARKS. ETC.. Includes information about amounts of material placed or work perormed; number, type, and
identity numbers of test samples taken; structural connections (welds made, h.t. bolts torqued) checked; etc.
/6/83 Inspected Aoint preperation, fit-up and welding of fillet
welded, chord and pannel ties connections.
Certified welder was observed for proper welding proce-
_______ - edures and techniques.
Completed welds were inspected for sizLengthioction;
• ______ and a.ia]4.ty and were found to be in accordance with applicable.
details, sections and Project Specifications
Inspection of these buildings will consist of: •Insection.
of welding of tilt-up panels, this will commence on 5/9. -
Bldg.1: Palomar Tech Center Bldg.#; Interamer Day
2)431-33 Golden Bear P1, 2Li3-55 Golden Bear
Bldg.#2; International. Dey ' Bldg.#6; Interamer Dey
2),i)41 Golden Bear 2461 Golden Bear
,
Bldg.#3: Interamer Dey Bldg.7: Interamer Dey-"
2b)43-)45 Golden Bear 2463-6 Golden 'Bear
Bidg.#:'Interaer Dey
241 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 SPECIFc.;TIONS, &
APPLICABLE SECTIONS OF THE CITY OF SAN DIEGO BUILDING LAWS.
sic N?rUR9JREGISTERED INSPECTOR
Ct1W_123 6AtE '6r REPORT REGISTER NUMBER
Wyman
Testing
Laboratories
20165 QU ESTHAV EN ROAD
ESCONDIDO, CALIF. 92025
(619) 744-0146
COVERING WORK PERFORMED DREINFORCEDCONCRETE DSTRUCT.STEEL ASSEMBLY
WHICH-REQUIRED APPROVAL BY •DPRE.STRESSED CONCRETE DREINFORCED GYPSUM DGLUE-LAM.FABHICATION
THE SPECIAL INSPECTOR OF 0 REINFORCED MASONRY DPILE DRIVING DOTHER
JOB ADDRESS
.24V31_2465 Golden Bear Place NO. of 1
FOR WEEK
ENDING -n 8. OWNER OR PROJECT NAME
InterAmerican DeveloDrnent •
BLDG. PERMIT NO.
82-428
PLAN FILE NO.
CONSTR. MATL (TVPE.GRADE.ETC.) - ARCHITECT
Brown Leary DESIGN STRENGTH SOURCE OR MFGR.
S
ENGINEER
-HeliX. DESCRIBE MATL. (MIX DESIGN. RE-BAR GRADE & MFGR.) GENERAL CONTRACTOR -
14,n nn;;h-r.i11 -rri CONTR. DOING REPORTED WORK
MO
- LAB RECEIVING & TESTING CONSTR. MATL 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-.
InsDeCted the footings for missing tie down bars per the —
instruction of the engineer. .
5-10 Inspected footings for missing. tie-down bars and found
several area where they were left out of the footing.
Engineer advised that holes being drilled for the- missing
tie-downs shall be a mm. of
Inspected bldg. I 1 & 2 and found them to be drilled to the
• correct depth. Observed the Dlacement of # S 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 a- lap of less.
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. •
•
____
klOL •
'•
• .• .
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 SPECIFICATIONS &
- -APPLICABLE SECTIONS OF THE CITY OF SAN DIEGO BUILDING LAWS.
__-
IGNATURE OF,fvEGISTEREDINSPECTOR S
5 -_/2-f'
____ DATE O REPORT REGISTER NUMBER
'. 20165 QUESTHAVEN ROAD
ESCONDIDO, CALIF. 92025
(619) 744-0146
COVERING WORK PERFORMED DREINFORCED CONCRETE DSTRUCT. STEEL ASSEMBLY
WHICH REQUIRED APPROVAL BY DPRE.STRESSED CONCRETE DREINFORCED GYPSUM :DGLUELAM.FABRICATION THE SPECIAL INSPECTOR OF DREINFORCED MASONRY DPILE DRIVING DOTHER
JOB ADDRESS
21fl1_246 Golden Bear Place NO. 1 of 1 IF'OR WEEK
(ENDING 5-20 19 83 OWNER OR PROJECT NAME
InterArnerican DeveloDment
BLDG. PcRMIT NO.
82-28 PLAN FILE NO
CONSTR. MATL (TYPE.GRADE,ETC.) ARCHITECT
Leary DESIGN STRENGTH [SOURCE OR MFGR.Brown
I
ENGINEER
He1i DESCRIBE MATL. (MIX DESIGN, RE-BAR GRADE & MFGR.)
Grout; Anker-Tite GENERAL CONTRACTOR .. - 1-hnnah-Gillard
CONTR. DOING REPORTED WORK
MC)
LAP RECEIVING & TESTING CONSTR. MAT'L SAMPLES
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
InsDected the drilling of the holes for the missing tie-down
in the footing of bldg.s. # 1-7. :
-17 Continued the insDection of the drilling of the holes and the
placement of the #5 rebar to the deDth of 9". Inspected bldg. #4.
c-19 Corikiined th inspection of the drilling of the holes of the
missing tie-downs . Inspceted bldgs. . t 3-6. -.
--
Continued the insDection of the above prob1em4
..
Today I insoected bldgs. #3-6 . .
.
I HEREBY CERTIFY THAT IHAVE INSPECTED ALL OF THE ABOVE
REPORTED WORK, UNLESS OTHERWISE NOTED I HAVE FOUND THIS SIGNA UR7EGISTERD INSPECTOR WORK TO COMPLY WITH THE APPROVED PLANS SPECIFICATIONS,&
. 20 May 3- C- /'1J i 2 - APPLICABLE SECTIONS OF THE CITY OF SAN DIEGO BUILDING LAWS.
. . t1P.TE or REPORT REGISTER NUMBER
20165 QUESTHAVENROAD
ESCONDIDO,CALIF. 92025
(619) 744-0146
COVERING WORK PERFORMED DREINFORCED CONCRETE DSTRUCT. S TEEL ASSEMBLY
WHICH REQUIRED APPROVAL BY .DPRE-STRESSED CONCRETE DREINFORCED GYPSUM DGLUE-LAM.FABRICATION
THE SPECIAL INSPECTOR OF DREINFORCED MASONRY DPILE DRIVING DOTHER
JOB' ADDRESS
2LV3l_2Ll.6 Golden Bear Place FOR WEEK NO.I of ENDING 5-27 '83 OWNER OR PROJECT NAME
InterAmerican pevelopment
BLDG. PERMIT NO.
82-428
PLAN FILE NO.
CONSTR. MATL (TYPE.GRAOE.ETC.) ARCHITECT
Brown _Leary DESIGN STRENGTH fSOURCE OR MFGR.
I ENGINEER
HeliX DESCRIBE MATL. IMIX DESIGN, RE-OAR GRADE & MFGR.) GENERAL CONTRACTOR
Hannah-Gilia,rd
CONTR. DOING REPORTED WORK
LAB RECEIVING & TESTING CONSTR. MATL SAMPLES
-
INSP
DATEidentity
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
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 Der the
instruction of the engineer.
Unless noted all holes for the tie-down bars'met with the
instructions of the engineer.
Cnntnued, the inspetinn of the fontins fnr"missing tip--down
bars.
Today I ineDected bldg. -# 3-6.
3-24 Continued the inspection for missing tie-down bars and the
correction to the problem areas. Inspected bldg. # 4-7.'
'Grout being used Anker-Tite.
Den all -holes Pq' ,v th of for tie-downs is 9".
his report concludes the instection requested bcr,the
engineer. All Droblem areas have been corrected and now'mee't the
specifications set forth by the engineer.' '
II
CERTIFICATION OF COMPLIANCE 711 ' HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE
' - REPORTED WORK, WORKUNLESS OTHERWISE NOTED I HAVE FOUND THIS .SIcNATURy'Or REGISTERED INSPECTOR
WORK TO COMPLY WITH THE APPROVED PLANS SPECIFICATIQNS,& 5_1 83 ' ce—A' 2.], APPLICABLE SECTIONS OF THECITY OF SAN DIEGO BUILDING LAWS. DATE OF REPORT REGISTER NUMBER
'
MROWN
,AJHF1EC11JRE'
. AND PLANNING
RECE I VED .
May 16, 1983 114AY24 1983
CITY OF CARLSBAD
Building Department '. Mr. Paul Joseph
Hannah Gillard Co. :.
7656 Formula Place .. •. '- ' ' '.
Suit A
San Diego, California 92121
Re Palomar Tech Centre
Project No 8664.20
Dear Paul
Mr Brad Lowe of Nowak Meulmester & Associates has brought
to my attention the omission of two of the four required S "
bars called for at hold-down -anchors, Building 3. 'Attached.
are two copies of structural calculations R-2 and a 'section
and elevation drawing SX-3 for your use. . . '
If you have any questions please call. . , S • , -
Sincerely,
Robert E. Fink
REF/sm . ': . • S
cc: Jsgil Corp., '9320 Chesapeake Dr., Suite 122', San Diego, CA121P
JCi.ty of Carlsbad, 1200 Elm Ave..,, Carlsbad, CA 92008 Of fr / 'Steve Brown/Brown Leary ' .. ,
55 9' Pr 5.
Attachment Pr-
5'.
5
5 5 5 •? .5 5';
11545 SORRENTO VALLEY ROAD SUITE 314 SAN DIEGO CALIFORNIA 92121 (714) 452-8544 755-8088 MEMBERS AlA
S - '' 555 5555 55 55
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IN
APPLICATION FOR PERMIT TO CONNECT TO CITY: SEWER SYSTEM4.S ç v. ' r
CITY OF CARLSBAD SE ENGINEER!NGDEpAR-FMENT:., •. 7 \
438-5541 / 7 / ISSUED BY FOR.APPLICANT TO FILL IN
- • S • 'DATE ISSUED
BUILDING
SS VALIDATION
OWNER W -V N
1'
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CONTRACTORS (t-'JL_4- r, OVER1OV ____ FT
.ADDRESS S / ! . STANDARD 6" (Max. H. 30'V. 10)
OVER 30 H ______ k FTL.__
NE' BULDING. EXISTING BUILDING OVER 10V. _____ ______ FT__________________
LEGAL DESCRIPTION' . • . . . TOTAL CONSTRUCTION COST
'. 1 0• • . .. SERVICE CHARGE (REPAVINGTC 0 5
JIf7 -L TOTAL, LATERAL CHARG
REMARKS 'S F LINE COST DATA
- ... .- . . ..•- 0
5 •.J • . ASSESSMENT DIST. NO.
0 ,•S • • - .-• 0 • 'S. S -
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S. .•,-. •. ....................... . FRONTAGE • COST PER .FJ) • - • TOTAL_______
OTHER
41
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LATERAL LOCATION
_____ "S U) NO UNITS COST PER UNIT_______ TOTAL
•• 0
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5 . S • • • 0 •• NO: UNIT •- COST ERUN( --L - TOTAL
S
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LATERAL NO INSTALLATION DATE
5 505 — . -..•: - S 5s • 1 S . • WHITE Engineering GREEN 'PINK: FInance YELLOW Sanitation Pilding GOLDENROD Permitterts...
,'k" 4 .' - -. r<- . Building
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