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Home My WebLink About2461 IMPALA DR; BLDG 6; 82-428-6; Permit-: -' * o 1 hereby affirm that I am (lensed under' '0 ''prolslons of Chapter 9.(commenclng with ' Section 7000) of Diwlslon '3 of the Business and Professions Code, and my license is In I full force and.effect7 - , - -•' No.-- Class -o - - •---- .., •*- . -.,*-• •-,. a. I hereby affirm that I am, exempt from the Contrac- ., tor's License Law for the following reason (Sec. 7031,5- Business and Pretensions Code: Any city or county which me- - quires a permit to construct alter, improve, demolish. or' '-u repair any structure, prior to its issuance also requires the ap-plicant for such permit to file a signed statement that he is,,'" licensed pursuant 'to ,the. provisions of the Contractor's license Law (Chapter-9 commencing with Section 7000 01 Division 3 of the Business and Professions Code) or that is ex-empt therefrom and thebasis for the alleged eoemption.'Avy violation of Section 7031.5 by an applicant torn permit sub-jects the applicant to a civil penalty of.not more than five hun- dred dollars ($500). •, ' ' ' -. - . . ..0 - ... .'n .,L. .a.•. '- , -, 0 I, as owner of the property, or my employees with wages / struc -as theirsole compensation; will dothe work, and the — ture is not intended or offered for sale (Sec. 7044:' Buoines - ..a and Professions Code:.4The Contractoris l)cense Law ,does,!- 'not apply Jo an owner. of property who builds or. improves thereon and who does such work himself or through his own - "1k . ' -a' employees, provided that such improvements are out intend- nw ,,.- ed or offered for sate. -It, however, the building or ve- 1% - ," Z - moot is sold within one year of completion, the owner-builder &3t will have the burden of pmoving,thal he did out build or im- -0 -prove for-the purpose of sale).-'- '\- lf.. •'a "r-', e'rv•, 0'i. as owner ot'the property,"am eoclusively contracting with licensed contractors to construct the project (Sec. 7044, - 1 ' ('r/, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or im- proves 'thereon, and who contracts for each projects with a en .. , - contractor(s) license pursuant to the Contractor's License Z - ,. ,Law). As a homeowner lam improving my home, and the t0y0.a 4 -. ,ing cenditions.eoist: ' .' •. * - 1. The work is being performed prior to safe. -2. I have lived in my home -for tweive mouths - .. prior to completion of this-work, w 3.' I have not claimed this exemption during the,, O , 'laotthreeyears: 0 lam exempt under Sec. - , B & P.C. for this reason ' -. .— -0 thereby affirm that I have a certificate of consent ,-' , to, setl-insure,' 'or, a -certificate of Workers a Compensation Insurance, or a certified copy thereof (Sec. 3800.' Labor Code). - -. - ... " - •,- ,.','?-• Cl .tCOMpANv)tj '• - - C] Copy is flied with the city. - -).Z , 0a,:'t-or . ' 'W D Certified copy is hereby furnished, - ''1n ' '0 ' - CERTIFtCATEOF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE - , •' (This section need not be completed if the permit - is for onehundroet dollars ($100) or iess) 14 - - - - 0 I certify that in the performance of the worh,IorL , 0 -, whrcl'r Ihis'permit is issued. I shall not employ any 'person in any manner so as to become subject to' ,",the Workers' Compensation Laws' of California.' , y- - •. ,,,' , , - ' •' ,.NOTICE TO APPLICANT:, If, alter making this Con,- . • - 'ticate of Exemption, you should become sub1ect to " ' the Workers' Compensation provisions 01 the Labor - - - -Code-n you .must - forthwith. comply with such )(,I 'rrprovrsions or this permit shall be deemed revoked. ; •-;- ' - . .- . '. 'D'lheraf1rm that -thee is a constr,Iron ' cc _jending agency, to, the performance of the work to, ,WI ,whrCh mm permit issued (Sec 3O97 Ciurl Code)'' a -' - - - - wi - Lender's Name - - Lender's Address - 11SF RAIIPflINT PFN ONLY & PRFS HARD ' " '- -- , -c- • .' • , '.APPLiCANT'TO FILL'iN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ' - - '- ' . ' '.- r n -.-' '-r,'-r' " ••— - . "'-- - ' ". • "- - -'--''- - -CARLSBAD BUILDING DEPARTMENT . APPLICATION & PERMIT , - 1200 Elm Carlsbad California 92008-198.g-k619) 438-5525 — - JOB AD OR SS AV. ST. DATE OF APPLICATION BUSINESS LICENSE # 4D RD. RD I VALUATION • , PERMIT NUMBE - :'- ':.- r-#-2- /gj s ______ ZONE OWNER'S NAME ' OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE C OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS 3J17' ,,4 LICENSE NO. PLAN I.D. # • BLDG USE CODE 6c ---- .-. - - LOT 1 BLOCK SUBDIVISION - ASSESSOR PA9QL NO. DESIGNER LICENSE # _________________ STANDARD PLAN # SUILDIN SQ. FOOTAGE DIPTIO OF RK, / DESIGNER'S ADDRESS 57 73 jg 9 ( ( DESIGNER'S PHONE V - .. •. •a ' . - - NO S7IES vD ND3'-1 (B GP 11.1 EDU ' /a$/CI-CU LAJPcf— ' • ' CENSUS TRACT-- • GP LAND USE - •• PARKINGSPACE RES UNITS I';,_-T ARE - GRADING PERMIT ISSUED - REDEVELOPMENT ' ' TYPE - T] 0CC LOAD' FIRE SPR - ' #- yQ N o - '' vDIN%. _ -• ' YND j - - Not Mid Unless Machine Certified QTY. PLUMBING PERMIT ISSUE - QTY MECHANICAL PERMIT ISSUE 3'oe SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP - : , , ' - INSTALL FURN. DUCTS UP TO 100,000 BTU . - BUILDING PERMIT - , - 01-00-00-8220 -• -EACH BUILDING SEWER - - ,---'--- •• - • -.-,- •: - • - --'.- _-...r OVER100,000BTU _- --''.--. .- --SIGNPERMIT --_'— __01-00-00-8221 ',-- -•-'-----,-_•_- I - EACH WATER HEATER 'AND/OR _VENT , , '--,. , BOILER/COMPRESSOR UPTO3HP - _- PLAN CHECK 01-00-00-8806 EACH GAS SYSTEM 1TO4 OUTLETS -'' ,-_' BOILER/COMPRESSOR 3-15_HP - __• ,. TOTAL PLUMBING -01-00-00-8222 ' EACH GAS SYSTEMS OR MORE METAL_FIREPLACE ELECTRICAL _-_01_00008223 ______ - - ° EACH INSTAL.. ALTER, REPAIR WATER PIPE -_- VENTFANSINGLEDUCT ___- a'-' - MECHANICAL 01-00-00-8224 - -EACH VACUUM _BREAKER -i,-' _-",' _,'' . MECH EXHAUST -H000/OUCTS :_-- _-', MOBILEHOME ._01-00-00-8225 • -' WATE,RSOETNER_',,-"--.•--- ,. RELOCATION OFEAFURNACE/HEATR_ ,_, - - '- ••,'-. ,,- .MOBILEHOMEPARKINSP .-_a'--__.-• EACHROOFDRAIN(INSIDE) __-• ' - _- • ,-----V _-- - SOLAR _01-00-00-8226 - ' -- -'"''•-• -.• -- - • ' - •TOTL MECHANICAL a': 1 ' C - - , - . 'STRONGMOTION' 80-92-33-0519 "'/.'.I,'• - - -TOTALPLUMBING -'- _- _______I FIRE SPRINKLERS ____________01_00008227 QTY. - , - • '- - _.ISSUE_, a' _u3'EI___TRicIPRM(T - •, ' .'::".__ ,QTY. - . - • - • ' -'SOLAR,ISUE,- ''n'' . -' - - -,- -PUBLIC FACILITIES FEE -32-00-00-8923', -_ - 'ty - '!BRIDGEIEE.- _ _',"•-- ',p,"'r '-_.' NEW_CONST_EAAMP/SWT/BKR ___-- COLLECTORS ____________'' SCHOOL FEE 1PH__a ______________13PH STORAGE TANKS Carlsbadu,- _, _-._809221_0519 ,-' -SEXiST BLDG EA AMP/SWT/BKR ROCK STORAGE " "'•" - __-' 'Encinitas __ut"j7F__— _80_92220519 ,i tI-i • 3PH ,'"-- __..' PUMP- _''•_' ""- SanDieguitoa 80-92-23-0519,,,,' _,'•,,' REMOOEL/ALTER-PER CIRCUIT 'a' PLAN CHECK FEE 0' Sin Marcos__- __18092_24_0519 TEMPPOtE,206'AMPS''"'',:-; -r '--'-,----i'--,,'' ••---••----.'.- _'-.-'- oe ''t -- _-- -OVER 200 AMPS ---' _iL''' - - _".-. _•-. '-T- _-;- _ -_- _,-c 4 .TEMPOCCUPANCY(30 DAYS) -.,'•-• . ' —' _:--'----' -;'--.- 1' T1,TA CIE LECTRICAL___a _a' ' __'TOTAL SOLAR _.3 ' ° TOTAL FEES _PAABLE Expiration, Every permit issued by the Building Official under the provisions o/this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER - HAVE CAR'EFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY • Code shall CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE limitation and become n authorized by such permit is not commenced uIl and void. If the building or work the date of such -5'0" DEEP AND DEMOLITION OR CONSTRUCTION OF 180 days DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or the buildina or work authorized by such p rt ermit suspended or STRUCTURES OVER 3 STORIES IN HEIGHT BUILDING CON- ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING abandonedatanytimealtertheworkiscommencedfora period of 180 days. - STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLIQANT'S SfGNAT - 0 'APPR_EDBY" KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND 1% EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY CITY IN CONSEQUENCE OF OWNER CONTRACTO ' _ 0 GRANTING OF THIS PERMIT. - INSPECTION TYPE BUILDING .. DATE INSPECTOR - •.- - - - - -"-' - - -. - - -..:: ._, :.....: -- '-.z-. - ...--. ..•(_. ... _____ *• - FIELD INSPECTION RECORD • .4. 4. 4. / FOUNDATION '-t<J w REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES... REINFORCED STEEL MASONRY I INSPECTION - REO. IF CHECKED SPECTORS INAPPROVAL DATE 3 ,ç02 f Ac_ 'GUNITE'OR GROUT SOILS COMPLIANCE . A4,iJkJ. . * . " FLOOR & CEILING SUB FRAME PRIOR TO FOUNDATION INSP SHEATHING - 1 g FRAME .. EXTERIOR TH 1NSLATION S OVER 2000 PSI TRUCTURAL CONCRETE / PRESTRESSED POST INTERIOR LATH & DRYWALL CONCRETE TENSIONED SEWER4ANDBL/CO PLUMBING UNDERGROUND '::: - * 2. I3,101— e BOLTS - - PLUMBING TOP OUT.'. SPECIAL MASONRY ________________ * *.41 • TUB AND SHOWER PAN ç ' GAS.TEST - .. P...4.... ELECTRICAL —WflflEEQ ELECTRIC UNDERGROUND 4. I.4' . PILES!CAISSONS —?-i'-fl - L ROUGH ELECTRIC 1 171 ELECTRIC SERVICE BONDING . - ._•_'-*..r .__.._•--*- - --------- 4. -4- . 4- 4 '-4 4*• *. * S MECHANICAL DUCT & PLEM REF PIPING HEAT - AIR COND - SOLAR SYSTEMS'- 4- 4- ,ICALL FOR 8FINAL INSPECTION WHEN(A'LL 4 t -. ITEMS ABOVE HA yE, BEEN 41 .-. - -. 4APPROPRIATE - VENTILATING SYSTEMS 4- - ... APPRO VED - _ ., - • * -JOB SITE FINAL.::.. - -.'• PLUMBING ELECTRICAL 4- . . . . . -.. ' t MECHANICAL '- BUILDING w SPECIAL CONDITIONS.. ... . • - .. . -p CERT OF OCCUPANCY ISSUED 1 ev 7i.. - _______________ .4-4- 4_ \.-_ _4 - 44- f•)) r '' - 4 .---.. - -. * ,'..--- '. -- .- 4-._•.._ ___.4- - ' f ..- 1 - 4- -• _ .7 , -Ifr - -L 'I - 4 :.•. - .._. - - — - -- - - - - — — - -- — .. - -. .- -- -.-- - — - — -- . -- 4--- - —. — ., . — — .-—----e,-- - - - — - -.- - - f) C ifl*L:• - f-c. 4 -. -Th ."f ., .,r' -" '•','•-, APPLICANT TO'FILL' IN INFORMATION WITHIN SHADED AREA'AND DECLARATIONS., - CARLSBAD BUILDING DEPARTMENT - - - - - - -' •' , ' " 1200 Elm Carlsbad California 92008-1989 -552561- .(619)438 JOB ADDRESS'. ' . AV. ST. DATE OF APPLiCATION BUSINESS LICENSE # VALUATION' PERMIT NUMBER No '2.31671cass _i1_Cl0_ 2461 GOLDEN BEAR PLACE - . ' RD., 2/15/83 APPLIED FOR OWNER'S NAME ' . OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE 0 , ZONE- PALOMAR TECH CENTRE PARTNERSHIP STRINGER ELECTRIC 453-6566 OWNER'S MAILING.ADORESS .• CONTRACTOR'S ADDRESS., 92038 LICENSE NO, PLAN I.D. # "s - , BLDG USE CODE 3151 AIRWAY AVE. BLDG G--3 COSTS MESA, CA 9,2626 P.O. BOX 2156, LA JOLLA, CA 231671 .. ,,. - ,, ç. LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. , DESIGNER LICENSE P STANDARD PLAN # - BUILDING SO. FOOTAGE- 11573 . - - - .-'-' .• . -,,-' - -. DESCRIPTION OF WORK - . . DESIGNER'S ADDRESS - DESIGNER'S PHONE .-,--"- ELECTRICAL .' f ,• , - OCCGP F/F' F.LR'ELEV, - ,NO , EDU' - - • STORIES YO NO '- " - -- ' .: - --' ,-' " i, .--' '5.' - , •' - , a-F. ' 'CENSUS TRACT ANDUSE ' 'PARKING SPACE RES UNITS , GRADING PERMIT ISSUED REDEVELOPMENT - TYPE "- 0CC LOAD 7,G FIRE SPA'.AREA a " "CONST nO N 0 - , - ,YD-. ND' , , '. -, -•' , - '-YDND - - 'No/'sciRe certified.., - - C,, ' ', 7"*'. -'In, PLUMBING PERMIT• ISSUE: - - ' . . '',-. x,v' - , " c", ,$" - a ,J' ', •, - QTY. ' ., 'e, '' ' ' .t "'- " ." ' ' .'' .MECHANICAL PERMIT '1SUE - . -' - , . . ' - ' - • ,, . ''" • ,';". ' .' " ' ' ':, hrL .' ' .. SUMMARY/ACCOUNT NUMBER - - I -. ,. ' '... - A., .,_ ,5 w'JL. — FIXTURE TRAP / INSTALL FURN DUCTS TO 100 000 BTU ' tiP a BUILDING PERMIT 01-00-90-8220 EACH EACH BUILDING SEWER , ' '- " '5'- '5 OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 EACH WATER HEATER AND/OR VENT - BOILER/COMPRESSOR UP TO 3 HP ,- PLAN CHECK a- 01 00008806 EACH GAS S'YSTEM'l TO 4 OUTLETS , • ''-' ' ' - .' ' ',. BOILER/COMPRESSOR 3-15 HP - ,. " -. :--: TOTAL PLUMBING - ' 01'00-00'8222 EACH GAS SYSTEM S OR MORE ' - METAL FIREPLACE .-# - '-' - a- ELECTRICAL - 01-00-00-8223 /,2 •_- EACH INSTAI. "ALTER REPAIR VbATER PIPE 5' VENT FAN SINGLE OUCT '. MECHANICAL 01-00,00-8224 .,4 EACH VACUUM BREA'KER , 0 MECH EXHAUST - HOOD/DUCTS r /0 , / I MOBILEHOME 01 00 00 8225 's4 WATER SOFTNER 'i'.. - RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP ---b - , • a EACH ROOF DRAIN (INSIDE) 5'- '5 - .5' SOLAR 01-00-06:8226 — - - a - TOTAL MECHANICAL - - STRONG MOTION 8092330519 r - "'TOTAL PLUMBING FIRE SPRINKLERS ,. 01 00008227 .. -' QTY - - - .' "'' ELECTRICAL PERMIT ISSUE •'. - • - ._ QTY ' - SOLAR ISSUE PUBLIC FACIL ITIES FEE • a-' 32-00•00•8923 , BRIDGE FEE NEW CONST EA AMP/SWTIBKR 5' COLLECTORS - SCHOOL FEE DISTRICT 1 PH 's" 3 PH 400A ° 200 00 STORAGE TANKS 1 ..a Carlsbad 80-92-21-0519 oit,,4 EXIST BLDG EA AMP/SWT/BKR " ', ROCK STORAGE .,.Encinitas'""i, 8092220519 1 PH 3 PH 1 PUMP - 'a ) ( na " jSan Dtegutto ' 40-92-23-0519 ' REMODEL/ALTER PER CIRCUIT '__- PLAN CHECK rEEa ';;yo'.;i, - San Marcos 8092 240519 TEMP PO'LE 200'AMPS tç OVER 200 AMPS tL ,TEMP OCCUPANCY 30 DAYS) '.r1" - (1) 30A 1- a - ,'750 OTALELELTRICAL 212 5 TOTAL SOLAR - . TOTAL FEES PAYABLE i, /z----- I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY 0 Expiration. Every permit issued by the Building Official under the provisions ofthis * AN osiiA 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 or work authorized by such permit is not commenced within -180 days from the date of such .5'0" DEEP AND DEMOLITION OR CONSTRUCTION OF - DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permii, or if the building or. work authorized by such permit is suspended or STRUCTURES OVER 3 STORIES IN-HEIGHT - TO COMPI,Y WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- ISSUED: abandoned at any time after the work is commenced for a period of 180 days. - - STRUCTION WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPI,4ANT'S SIGNATURE -* . - 0 ',Oe' APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST'ALL LIABILITIES, JUDGMENTS, COSTS AND -- , - - -€'. ... - OWNER - CONTRACTOR , -- r • • EXPENSES WHICH MAY IN ANY WAY*ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE' rtor's.'License Law for the following reason (Sec. 7031,5 N. ' 'Business and Professions Code:. Any ciiy,or county which re' - qoires a permit to construct, after, improve. demolish, or repair any structure, prior to its issuance also requires the ap' ' phcant forsuch permit, to fife a signed statement that he is licensed por5000t ,to the provisions 'at' ihea Contractors License i,aw.(Chapter 9.commenciog with Section 7000 ei, Division 30t the Business and Professions Code) or that is es-i emyt therefrom and the basis for ihe alleoed eoelnDtion.a Any' - violation of Section 7031.5 by an applicant for a permit sub-jects the applicant in a civil pogaily of not more than five hun' , dred dollars i$500i' ••' ''• - . 0. 1. as owner of the property, or my employees with wages UI as their sole compensatinnwl5 do the work, and the struc' a -: tore Is not intended-or offered for sate (Sec. 7044, BUsiness ..a and Professions Code: The Contractor's License Law does . 5 not apply .to an owner. of property who builds or Improves - thereon and who does such work himself or,through his own - - employees, provided that such imprnvemenis are not intend- W .-.-red or offered for, sale., it, however, the building or improve-a.— a" Z ment is sold within one year, of.compleilon, the owner-builder will have the burden of proving ihat he did not build or Im- 0 , prove for the purpose of sale) a • 'sO i, on owner 'of the prnperty. am eociusiveiy c0ntr0ct1ng with licensed contractors to construct the project (Sec. 7044, "r- Boniness and Professions Code: The Contractor's License - , Law does not apply to an owner of property who builds or f m- proves 'thereon, and who contracts for each projects with a - cc ntractnr(s( license pursuant in the Contractor's License Z - . Law). - ' . ....'.... . -4 0,,,- homeowner i Urn improving my home, and the follow' 4 fog conditions exist: . • , .._,.__,., -. , t. The work is being performed prior to sate. a'-- 21 i have lived -in my home for twelve months-. prior to completion of this work. " n Lu • , :. -,-3,f have not, claimed this exemption during the. .0 ,last three years. '"" ,,s. - 0 lam exempt Under 'Sec ' ' " " ',B & P.C.-, for this reason - ' -y .- . ' 'I, ' 0 thereby affirm that i have acertif ica)e of consent .,.,' to seif-insure,',,or, a cef'tificate of Workers' - Compensation tnsurance:'or a certified copy the. "(Sec: 38M., Labor Code).......- Z OLiCYNO ,95007 ,-., COMPANY COMMERCIAL 'UNION as 0 -copy is filed wsfh"n the city-. i " - Z -ILl D'krtiiieoi Copy is hereby.furnished$-'.'j ,',r .,,,. . '0 "CERTIFICATE OF EXEMPTION FROM WORfcERS',COMPENSATt0N')NSURANCE (This, section need not be compietedif the permit - LAJ "e is for o,ne hundred.dolIars,f$l00f ,, or lqssi 0 i certify that in the performance of the work or,. 0 tl:'I which this permit is issued, ishaif not' employ any ' 'person in any manner so as to become- subject to the Workers' Compensation' Laws'of California r .......' .. NOTICE TO APPLICANT; ff,'affe'r making this Cerli. 4 ,fica'te of Exemption, you should become subject to ".. the Workers' Compensation provisions of itne'Labor Code, you - must' forthwith,,compiy with such ' Provisions or this Permit shall be deemed revo(ed : ,r'' '•'5-r--'-'- ' '" '.'L '-O lt,ereby affirm 'that there i 'a consfrution - ' I - tending agency to, the performance of the work for - whcf'i this permt 5 sudl ,3O97Cvit Codfi.' - WI ' Lenders Name 41 -t--'- -'- -t Lenders,Addess jr . a a- "A" --'--' ' •' - . . . - .'.r, , r ," .". ' -,-" - , -" '. - * ., , I" •, '-' • - ' .' USE BALL POINT PEN ONLY & PRESS HARD . •' .- "." : •' D.i.heeb affirm that iam.lfnsed under , o provisions df Chapter. 9' (commencing with Section 7000) 0f .Division,3, of ,the ,Business : .'I' "and ProfessIons Code and my license is in I ,. fuii force-and effect:'... ., ".. .--. .- . - - " ,i hereby affirm ,that I ,am .exempt from ,the Contrac' .. 'I' '-.APPI' I(ATIflPJ '& PFRMIT ' a • • 11 - -' '.1' .,. -''-'' -•'-'-- ''5".'-. "'• ,::''.''P,--,r,s.' 3 55'J • •' fl-v. -c--±_--- a-' - " ,-'• ,,-r,. 4 & - - - •4 • '. INSPECTION TYPE - - ,,,. DATE -INSPECTOR Dl Ill "-FOUNDATION' REINFORCED STEEL MASONRY GUNITE OR GROUT. 'FLOOR.& CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH:1NSULATION . - l' INTERIOR LATH & DRYWALL -, , --. -- PLUMBING SEWER AND BL/CO -, •. 4 - PLUMBING UNDERGROUND PLUMBING TOP OUT.'. TUB AND SHOWER PAN GAS TEST ELECTRICAL' TEMPORARY POWER '..- ' ' 4 4 ' 4 ELECTRICUNDERGROUND'•"- 4' ROUGH'ELECTRIC ELECTRIC SERVICE.., C BONDING G. F. 1. - SMOKE DETECTOR" - '-"- -' -' ' '• 'MECHANICAL 4. - DUCT & PLEM., REF. PIPING HEAT'— AIR COND. SOLAR SYSTEMS VENTIL'ATING SYSTEMS cALL FOR, FINAL INSPECTION *HEN ALL- APPROPRIATE ITEMS ABOVE HAVE1 BEEN , APPROVED. JOB SITE FINAL, PLUMBING ELECTRICAL -MECHANICAL GAS'- BUILDING - . • .. .-' .. SPECIAL CONDITIONS CERT OF. OCCUPANCY ISSUED .4 - . . ' .4 -- '.4 4 ' 4 . ' .\. '.4 . ' . ' ' ' -"4'. - - ' • FIELD INSPECTION RECORD 'REQUIRED SPECIAL INSPECTIONS. INSPECTOR'S NOTES.....- -. - ' -''-"4 , ,'• . REQ. IF INSPECTOR'S' INSPECTION CHECKED APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE " 4 . .2 - ' ". '- ' . ' A FIELD WELDING 4 HIGH STRENGTH BOLTS SPECIAL MASONRY 4 -- - - 4' • 4 . . .4'.',' PILES/CAISSONS - - . .. . , - . .. , . ' . . . ' -- 2. - , 4- 4. - #4.. .4 .4 • -__________________ -'4 5 5 . * ' 4 4,,, .4 4* ' - - . . ,. . i. * ........- -.- , - - ' -- . . . '- 4 4- '.4 4 4*.- ...4'.___'.4.4..,_..*4 *, -4'-'- -------------'--4 .4.- -4 .........-'--'.-•-.-•---.- 4 4-v', , -'i- C, ,"'2'"' • •1','r' ' '4- - ', •_J','4-'. ,, .4 4' 4 — .1 MUSE BALL POINT PEN ONLY & PRESS HARD .: APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. - ' "jfl.i heieby'iffirm that ia' iiensed under 01 1P!9visiOns61'ChaP.ter9 (comme'ncfngwlth I -Sectio 4 n'000) of,DivIsion 3 of,the Business. ; and Professions Code, and my license is in t.,...,,.fuii force and effect. ..,.... ._,. z 7i Lic. No. _________ Ctass- - t_40 hereby,atfirrn that jam exempt fromjho. Cnntrac- - , ,-1t0r's License Law tor the following reason (Sec. 7031.5 , - Business and Professions Code: Any city or county which re' .,quires a permit In construct, alter, improve demolish. or '6, repair any structure, prior to its Issuance also requires the ap-plicant "plicant for such permit tile a signed statementthat he is, licensed pursuant to the 1prnvislond, of. the -Contractor's - _ License Law (Chapler.9 commencing with Section 7000 nt.. Division 301 the Business and Professions Code) or that is ex-empt therefrom and the basis for the alleged eoernptionn Any violation of Section 7031.5 by an applicant for a permit sub' vs jects the applicant to a civil penalty 01 not more,than five.hung '. " dred dOtlars'($SQO). - ' ? 0.1, as owner of 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 Protessions Code:4 The Contractorl t,icense.Law does .5 ,00t apply to an owner of property who builds or improves ...thereon and who does such work himself or through his own "_ ployees, provided that sock improvements are not Intend- .:Id or offered for sale. .,11, however, the building or Improve- - - Z mont is sold within one year of completion, the owner-builder 39 will have the burden ot.proving that he did not build or im- -0 ' prove for the purpose ot'sale) - - C ' ' .. 0 'I, as owner 0f the property, am-exclusively contracting ' with licensed 'contractors to construct till project (Sec 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or im- proves ,'thereon., and who contracts for eactj' projects with a. cootractor(s) license pursuant to the Contractor's License -. Z •, Law). ' .• , . 2 * -r •_"--'- -' -. ' , . L • 0. As ahomoownor I am improving my home, and the follow- 4 - log conditions exist: - t-i.1-The work is.being performed prior to sale: - 5.02: i'have lived in my home 'br 4wolve mouths . . -.--.' -. -prior to completion of this work. ---- w • J 3. 'i'have not claimed this exemption during the O -'' last three years. 7. .0 lam exempt uoderSec.'-''_.' , for this,roason . " . . -. -.-• -*'-----.,. - •' 1 "r't • ,,:i4-..' t,.si - Q thereby affirm that I fnave.a certificate of consent to 1selt-insure or *a.certificate of- Workers' - Compensation Insuraince. or a certified copy thereof (Sec.' 3800, Labor Codef A. . POLiC NO ' COMPANY. in Qos filed with iecty'' .. UJ .- D IL t ,Cernified copy is hereby furnished..w.------ - 41,16 - • • r- . CERTIFICATEOF EXEMPTION FROM. T . WORKERS'-COMPENSATfON INSURANCE . . (This section need not be complet'éd if the permit , - is for one hundred dollars ($1001 or less) cc DI. certify that mIle performance of the work for whicfl Ihis'pernrit is issued, I shall not employ any person in any manner so as to become subject to - . the WortcersCompensaIion Laws of California. . ,....,aNOTlCE.TO APPLICANT:, If, after making this Certi- ficat'O of'Eremption,jou should become subject t',"'-i the Workers' Compensation provisions of the labor -- ---..- Code,- you • must- forthwith comply. with such IA 'provisons or this permit shall be deemed revoked. • S . 'hereby, iffirm that tCre is a construction cc ,,j.ending,a,gency fOr the performance Of the work for which this permit is issu'edfSel'3O97Civii Cbdef. WI - Lenders Name. - 'u lit, 612 L- Lender's Address ____________________________ tARLSBADBUILDING DEPARTMENT I A LidAti EAMITT T ' .r1 ;T Elm Carlsbad California 92008-1989 (619) 438-5525 JOB ADDRESS - , AV. ST. DATE OF APPLICATION BUSIN SS CENSE # - VALUATION • PERMIT NUMBER 10 OWNE'R'SNA _E . PHONE CONTRACTOR C NTRACTORS PHONE s ZONE _OWNER'S OWNERS MAILING ADDRESS C NTRACTO S ADDRESS ___ LICENSE NO PLAN I D # BLDG USE CODE er 1/35'/, '-•-_' -_- .1, LOT BLOCK SUBDIVISION ASSESSOR PARCEL NO. DESIGNER / __________________________________________ LICENSE # __________________ STANDARD PLAN # -,' BUILDING SO. FOOTAGE - DESCRIPTIONOFWORK _.\•••, DESIGNER'S ADDRESS DESIGNER'S PHONE -- - '-.--- v-' . .• • -'- - 4 - -. - F/P FLR ELEV, • - NO STORIES 0CC OP - - - - EDU -. vOtD ' ------- _• ,. • CENSUS TRACT '4'GP LAr.DuSE • PARKING SPACE RE! UNITS ' GRADING PERMIT ISSUED REDEVELOPMENT - TYPE 0CC LOAD FIRE SPA ' ----'+. - - ,-"- A'REA"' _., _-., CONST'. t'': _f',_--4r__•* • p0 N 0,' _. _YD _ND -.. - _vDrD ',- ____Mc,ecertifieeI . Q_ff PLUMBING PERMIT _ISSUE OTy MECHANICAL PERMIT _ISSUE 3--_-' SUMMARY/ACCOUNTNUMBER 'EACH FIXTURE TRAP ', _-.•• ' '/O INSTALLFURN. DUCTS UPTO.100,000BTU _-- • BUILDING PERMIT . • 01-00-00-8220 -.- '1' -/'--EACH _BU1LDNG_SEWER ---.--''r—,-------- ---- _3' -- ' -j------.----.---- _OVER (00,000_BTU-- _- -- • - - -- - -.SIGNPERMIT-•- _-01-00-00-8221-" / EACH_WATER_HEATER_AND/ORVENT__- BOILER/COMPRESSOR "UP TO_3HP PLAN CHECK 01-00-00-8806 ",ç"c Jn EACHGASSYSTEM1TO4OUTLETS 'BOILER/COMPRESSOR3-15HP ______.- .• - TOTAL PLUMBING . . -'01-00-00-8222 - - EACH GAS SYSTEMS OR MORE __" -- METAL FIREPLACE '--_ __,.' v " - - ELECTRICAL - - 01 00008223 - - ''t EACH INSTAI.5 ALTERREPAfR WATER PPE - ' - : VENT-FAN SINGLE DUCT ' - S -MECHANICAL - - - 01-00-00-8224 .,4 -EACH VACUUM BREAKER- s- - " MECH EXHUST 1 I'606/DUCTS MOBILEHOME 01-00-00-8225 - WATER SOFTNER - RELOCATION OF EA FURNACE/HEATER - .a - MOBILEHOME PARK INS EACH ROOF DRAIN'(iNSiDE), • -.' - • - I -' - - • P - :-- SOLAR • • - 01-00-00-8226 '. , et'-TOTLMECHANICAL I '', ' .• . • * -' - - - STRONGMOTION 8092330519 ' I ----TOTAL-PLUMBiNG- ----- • ' -- FIRESPRINKLERS., - ', 01:00-00-8227 , -..-. •, , - QT 15' -•. •_ • ELECTRICAL PERMIT . 7L... OTY., 1.. - SOLAR ISSUE . ' PUBLIC FACILITIES FEE - 32-00-00-8923 - .'• - BRIDGE FEE NEW CONSfEA AMP/SWT/BKR I COLLECTORS SCHOOL FEE DISTRICT I P-Ho 3 PH . s STORAGE TANKS ' ' Carlsbad 809221 0519 EXIST BLDG EA AMP/SWT/BKR t '".' ROCK S'TORAGE "a ' "1 --s'r " EnCtnttaS '' "- 80:92-22-0519, 1 PH '- 3 PH ..,v s " PUMP San Dtegutto '80-92-23-0519'' REMODEL/ALTER PER CIRCUIT I, PLAN CHECKFEE 1 - SanMarcos 8092240519.. ' TEMP POLE,.200 AMPS " r.L,,_a_' " .,,' _, , a ovER'200 AMPS.,,._..,_-' _--- -'- ,,,3 TEMPOCCUPANCY_(30_DAYS) *------—-, --_ ••---- __-_ .•.. ___,..- ______ "S. TOTALELELTRICAL a -TALSOLAR TOTALFEESPAYABLE, I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions oIhis * AN 0614A PERMIT IS REQUIRED FOR EXCAVATIONS OVER - CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by tirnlfaflon and become null and void If the budding or work authorized by such permit is not commenced within 180days from the date of such 50" DEEP AND 6EMO1rTN OR 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 GOVERNING BUILDING CON- ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS abandonedatanytimeaftertheworkiscommencedfora _nodof180days. '- -' STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT ' " APPROVED BY DATE - F' S SIGNATURE OWNEJ CONTRACTOR La . KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY t 0 CONSEQUENCE OF THE /7 BY PHONE GRANTING OF THIS PERMIT "S , ,, .• I -- ,. .j - . - * . ' . - •., (, - -.4 V • . _, . - -V.,. '. •1 INSPECTION TYPE DATE INSPECTOR ,.BUILDING ,-'.-- - •••- i FOUNDATION,. - - - V REIN FORCE bST-EEt 'MASONRY - V , .4- •.- - .V'•-..•. I' GUNITE OR GROUi'. FLOOR & CEftING,SUë FRAME SHEATHING" FRAME EXTERIOR LATH INSULATION . .V INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMING UNDERGROUND/ PLUMBING ',TOP OUT' TUB VA ND SHOWER PAN GAS TEST ELECTRICAL .4, -'• V.. - TEMPORARY POWER,' ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING.- G. F. I. -'SMOKE bETECTOR •-- - -- MECHANICAL DUCT & PLEM REF. PIPING' i,... ' ¶ HEAT - AIR COND. - SOLAR SYSTEMS' VENTILATING SYSTEMS, * . CALL FOR FINALJNSPECT!ON WHEN ,ALL APPROPRIATE' - /TEMS-ABOVEH.4VEBEEN -APPROVED. - - JOB SITE FINAL PLUMBING' '' . ELECTRICAL ...: . - MECHANICAL' - '-• , - - ________ GAS - - - BUILDING.1. SPECIAL CONDITIONS •-.: ' ______ _________ .CERT OF OCCUPANCY ISSUED "" .• .. - •'- :- ::. - ---V -Nj -, t _ ' ' '• - I I - " -\ - -'.,, ,.•- -. ..- .-.. • J j.... FIELD INSPECTION RECORD - - REQUIRED SPECIAL INSPECTIONS 1 - INSPECTORS NOTES,;,..- - INSPECTION :REQ.!F INSPECTOR'S DATE - I , 4ft"• ' CHECKED APPROVAL - • - - ,.. SOILS COMPLIANCE PRIOR TO FOUNDATION INSP --4- . - -' STRUCTURAL CONCRETE f OVER 2000 PSI . ' . $ PRESTRESSED CONCRETE POST TENSIONED, -- , - - - .•.•.V .. - , V - CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY . . •V V V — wl L I PILES!CAISSONS 04 V -- V - - .• •.4-.4 .__- V . ---: V - V '*V V - ' 1 r -412 V - '• •' -V. .•4--_.'4. V V J''i:'1 V....: - .4-. • . . V4.; V-VV__'V; - V -j - - V V -__..V-V . 4. -. •. .. - . - I ' - V . 4- . ' . . - . . V /;...... . ,. - -- . V - - • . . -V.-- V •V , .- . V , .4- . . -- . ...- -- '4 4 - . '1, , . . V -. V V jV • . • .' .. 'V 4 4 . • - . . • V V V ' .. - . - • - - 4.- •4V' 4 .4 . . . . - . Ile .V- V .,tj,,'I -- •L'•• ••jVJ . . -. - V• 'l •V4V'VVV ..ti V7 '4 ' 's-L . APPLICATION FORPERMIT TO - CONNECT TO CITY SEWER SYSTEM, CITY OF CARLSBAD - - ,ENGINEERING DEPARTMENT ' SE N4? 1946 438-6541 .. ISSUED BY -t FORAPPLICANTTO FILL • r -; . .• •f-' .. DATE ISSUED --'' BUILDING ADDRESS - / •- 4i i/ j9O ./ _____________________________________________________ VALIDATION OWNER r — I *_._.•_. MAILING -ADDRESS - - -L ' . - .-• LATERAL CHARGE COMPUTATION, . ,. . • CONTRACTOR (4 : i t. .. STANDARD 4 (Max H 30V1 10) _t$ J. OVER 30 H. _______ • CONTRACTORS è OVER 10 V.- ADDRESS /.._.c- f STANDARD 6 (Max.H 36:"'V11. OVER 30% H NEW BUILDING XISTI ENG BUILDING OVER 10 V - T4 LEGAL DESCRIPTION . TOTAL CONSTRUCT SERVICE CHARGE (REPAVI.NGETC - - . _ •• . S • TOTAL LATERAL*CHARGES. / • Cf c øS1 4:• - :REMARKS: •••• . .. . . . . .. . . I • LiNE'COSTDATA . . - - ASSESSMENT DIST. NO. __1 # FRONTAGE ________COSIT PER FT- TOTAL_______ OTHERS - .c. • - 'LATERAL LOCATION, S . . . S.. 6Nji - . NO UNIT? _COST PER 17IT/& TOTAII2)&P' f r * _ ( IN PUMP STATIOtFEES ) el __ NO; UNITS _______ COST PERUNIT - TOTAL_______ I ST . - - •,. S • LATERAL NO- INSTALLATION DATE • TOTAL CHARGES (LATERAL E1Cfl- - t 47f - -•• •• t 1 I WHITE Engineering GREEN Finance YELLOW Sanitation PINK Building GOLDENROD Permitter — 1 Wyman THAVEN ROAD T .. .. 20165 QUES Testing :. . ESCONDIDO, CALIF. 92025 11I Laboratories '. (714).744-0146 COVERING WORK PERFORMED DREINFORCED CONCRETE OSTRUCT. STEEL ASSEMBLY WHICH REQUIRED APPROVAL BY DPRE-STRESSED CONCRETE DREINFORCED GYPSUM DGLUE-LAM.FASRICATION D THE SPECIAL INSPECTOR OF DREINFORCE MASONRY DPILE DRIVING MOTHER Field Welding JOB ADDRESS . Addresses Listed Below . rcR WEEK EN orIo 19 OWNER OR PROJECT NAME - . Interamer Dey BLDG. PERMIT NO. 82-428 PLAN FILE NO. CONSTR. MAT'L (TYPE.GRAOE.ETC.I _______________________ ARCHITECT - Brown Leary. DESIGN STRENGTH SOURCE OR MFGR, ENGINEER Helix DESCRIBE MAT'L. IMIX DESIGN. RE-BAR GRADE & MFGR.) Mat'l ASTM-A36 . GENERAL CONTRACTOR Hannan Gillard . - Electrode E-9016 B2 . • . CONTR. DOING REPORTED WORK MO. (welding by Hawk-inL . Reinforcing steel ASTM A615 LAS RECEIVING & TESTING CONSTR. MAT'L 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 performed; number, type, and identity numbers of test samples taken; structural connections (welds made, h.t. bolts torqued) checked; etc. 5/6183 Inspected loint preperation, fit-up and .weldinR of fillet welded, chord and pannel tie, connections. .. . . . . Certified welder was observed for proper welding proce- _______ eçlures and techniques. Completed welds were inspected for sizes length,_locatinn; and quality and were-found to be in accordance With applicable details sections and Project Specifications. Inspection of these buildings will consist of: Inpection of welding of tilt-up panels, this will commence on BldV1: Palomar Tech Center Bldg.f/5; Interamer Day 2431-33 Golden Bear Fl. . 21l53-55 Golden Bear Bldg.ñ2; International Dey . Bldg.#6; Interamer Dey 2)4)41 Golden Bear . . 2461 Golden Bear Bldg.#3: Interamer Dey Bldg.#7: Interamer Dey.-- 2443-45 GOlden Bear . 21163-65 Golden Bear Bldgfi/th: Int.eramerDey . . ' 2451 Golden Bear. .- .Sip CERTIFICATION OF COMPLIANCE 1 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 SPEr.!FCATIUNS& APPLICABLE SECTIONS OF THE CITY OF SAN DIEGO BUILDING LAWS. ..J_- -. •¼- 7t._- ____ SIGNTURE VjlEGISTERED INSPECTOR _ -- GMW 123 OAtE Ofr 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 DGLUE-LAM.FABRICATION THE SPECIAL INSPECTOR OF 0 REINFORCED MASONRY DPILE DRIVING DOTHER JOB ADDRESS 24V31_2I4.6 Golden Bear Place NO. of 1 IFOR WEEK I 0I 83 OWNER OR PROJECT NAME S InterAmerican Development BLDG. PERMIT NO. 82-428 PLAN FILE NO. CONSTR. MATL (TVPE.GRADE.ETC.) ARCHITECT Brown Leary DESIGN STRENGTH SOURCE OR MFGR. ENGINEER HeliX DESCRIBE MATL. (MIX DFSIGN. RE-BAR GRADE & MFGR.) - GENERAL CONTRACTOR CON TR. DOING REPORTED WORK 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. baits torqued) checked; etc. • Concrete Inspection • Inspected the footings for missing tie down bars per the instruction of the engineer. 5-10 Inspected footings for missi'n 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 beg mm. of 1Y. 'Inspected bldg. !tL I & 2-and found them to be drilled to the correct depth. Observed the olacement of /,' 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. 5-12 Continued inspection of the drilling of the 'tie-down holes bldE. # 2-4. • klO1 ' ' ' ' ' ' ' I 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 SPEC-IFICATIONS.& APPLICABLE SECTIONS OF THE CITY OF SAN DIEGO BUILDING LAWS. 7 .-- S S —/ -,'------- 7 '— I SIGNATURE OFmEGISTEPEo INSPECTOR .• z DATE 017 REPORT REGISTER NUMBER • COVERING WORK PERFORMED flREINFORCED CONCRETE DSTRUCT. STEEL ASSEMBLY WHICH REQUIRED APPROVAL BY OPRE-STRESSED CONCRETE DREINFORCED GYPSUM • DGLUE.LAM.FABRICATION THE SPECIAL INSPECTOR OF DREINFORCED MASONRY DPILE DRIVING DOTHER JOB ADDRESS 2431-246 Golden Bear Place NO. 1 of 1 FOR WEEK ENDING 5-20 OWNER OR PROJECT NAME InterAmerican Development BLDG. PRMIT NO.. 82-428 PLAN FILE NO. CONSTR. MATL (TVPE,GRADE.ETC.) : ARCHITECT . Brown Lêary DESIGN STRENGTH SOURCE OR MFGR. - ENGINEER - Heli S DESCRIBE MATL. (MIX DESIGN. RE-BAR GRADE & MFGR.) Grout: _Anker-Pite GENERAL CONTRACTOR 1anyah-Gj1lard • • CONTR:DOING REPORTED WORK S. - LAE1 RECEIVING & TESTING CONSTR. MATL SAMPLES 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 rnber, type and 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 # 1-7 Continued the inspection of the. drilling of the -. holes and the plaeernit_of_ the to-the depthof 9" ___Inspected bldg_#4 _# _rebar -19 Ccrntinuc1_the_inspect ion _of the drilling _of the holes-of the missing tie-downs .• Inspceted bldgs. -# 3-6... . Continued the inspection of the above problem. • Today I -inspected bldgs. •#3-6 . • CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE • 2- _- REPORTED WORK, UNLESS OTHERWISE NOTED I HAVE FOUND THIS • SIGizL;:RED WORK TO COMPLY WITH THE APPROVED PLANS SPECIFICATIONS,& 20 _May _8-3-- _• (1__fLf __ 2 3 • APPLICABLE SECTIONS OF THE CITY OF SAN DIEGO BUILDING LAWS. • DATE Or REPORT • REGISTER NUMBER COVERING WORK PERFORMED DREINFORCED CONCRETE DsTRUcT. STEEL ASSEMBLY - WHICH REQUIRED APPROVAL BY OPRE-STRESSED CONCRETE DREINFORCED GYPSUM DGLUE.LAM.FABRICATION THE SPECIAL INSPECTOR OF DREINFORCEDMASONRY DPILEDRIVING -. DOTHER JOB ADDRESS - 2LV31_2L.6 Golden Bear Place L~iL1 IFOR WEEK 5-27 '83 OWNER OR PROJECT NAME - InterAmerican_Development BLDG. PERMIT NO. 82-428 -- PLAN FILE NO. _- CONSTR. MATL (TYPE.GRADE.ETC.) -- ARCHITECT - - BrownLeary _- DESIGN STRENGTH - --.- SOURCE OR MFGR. - - ENGINEER - - Helix_---- _- DESCRIBE MATL. IMIX DESIGN. RE-BAR GRADE & MGR.) -_ ---- GENERAL CONTRACTOR - Hannah-Gillprd - _-_- - CONTR. DOING REPORTED WORK - - LAO RECEIVING & TESTING CONSTR. MATL SAMPLES - , - - ISP TL 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 Inpection - - Inspected the footings for missing tie-down bars per the instruction of the engineer. - V - - •. - - Unless._noted_ all _holes _for _the -down _bars _met _with _tie _the _-- ---- instructions of the engineer. - - ____ Continued thp inspeetion of the. fno.tins for missing tie-dpwn- _____ bars. -- - Today I inspected bldg, II 3-6. - - - - 5_24 - Continuedtheinspection -formissingtie-downbarsandthe - • correction to the Droblem areas. Inspected bldg. L..-,• Grout being used Anker-Tite. - - Denth of all-holes for -tie-downs is 9". -- V - - -V- - - - - -p - - - -- --__- - his _report concludes the inspection-requested bc_the engineer. All problem areas beencorrected and now meet the _have - specifications set forth by the engineer. Vj -- -- - CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE .->' --_•7 _-.___-_-._--_- - - REPORTED WORK, UNLESS OTHERWISE NOTED I. HAVE FOUND THIS -SIATdR/OFREGISTEREDINSPECTOR -- WORK TO COMPLY WITH THE APPROVED PLANS SPECIFICATIONS,& -••523 APPLICABLE SECTIONS OF THE CITY OF SAN DIEGO BUILDING LAWS. - DATE OF REPORT REGISTER NUMBER -Consulting Soil, Foundation & Geological Engineers 10505 Roselle Street SAN DIEGO, CALIFORNIA 92121 (714) 453-5605 TO 1i( 1\k2k 1(1 q.iivi-6r THE FOLLOWING WAS NOTED: UA II ,OH NO. 71 PR ICT - LOCATION Is bc1 CONTRACTOR 11a-21 OWNER WEATHER - C.d . TEMP. °at AM °at PM PRESENT AT SITE I have inspected the materials exposed in the footing excavations for the subject buiIdir :ly e (. The materials consist essentially of .Sf7H ________ __ _as anticipated in - investigation' rep r.t._ Accordingly, It is our opinion that the materials exposed are suitable for the sp.orLoL_, footings designed in accordance with the recommendations p se1ited in the investigationreportfortheprojectdate ,LJL7, !7& . - .. Our services consist of professional opinions and recomrnendationsjnde in accordance with generally accepted geotechnical engineering principles and practices. This warranty is in lieu of all other warranties either exprs or implied. -. .. . . . . . PA wx!Ell .t e,rcirt 1 I '-f ''& - ( d--- /c) (1 / i--ió \D e 67 C ( o y T - 1 ç M :~j4~ 9W___3 Ak-) j7 .-".r ' 11cjs B1j ' _c'r F .-oTL- j2rtiTQV(ccti, R ( 7 ) OPIES TO RflRcPr Lrnati64 LI- •- ________ r , LOCATION 00 00 Oc Is bI __ CONTRACTOR - 1 "ci OWNER - WEATHER 1 ° AM 0 a PM PRESENT AT SITE 0 I have inspected the materials exposed in the footing excavations f o r t h e subject buildit). The materials consist essentially of as anticip?iL1j 0 0 investigation report. Accordingly,. 0 • 0 •: it i'sour opinion that the materials exposed are suitable for * the support of • • • w. footings desigp djiiaccordance with the recommendations presented in the _tn.yjgatlon report for the project dated /\JOy 17 in accordance with ,eiiera1ly accepteLgoechnical eng1rerin principles and practices. This w arrant isjoIiuoLaILqtheiiran1i eitherexpress or >t1LV3I V1CJ rej2or-tt1fcJ"Prc/I PrQfCS( dT 1-/ -/ • 1c A 1.20 SIC Y J7, _________ •111 ((7d( hcJjc(f'c cS p i d -- ____ f_icrTh j) ej j Jc 7i - ------"---