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Home My WebLink About2560 ORION WAY; MULTI-PERMIT FILE; CB101213; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-01-2010 Electrical Permit Permit No: CB101213 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2561 ORiON WY CBAD St: TP ELEC , .. Parcel No: 0000000000 Reference #: PC#: Project Title: JFRTF T!;MP POWER POLE 200AMP Applicant: POWER PLUS 436 N QUINCE ST 92025 760 839-9430 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee · Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES ; ··! Lot#: 0 0 0 0 0 .. Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/01/2010 MDP 07/01/2010 07/01/2010 $10.00 $0.00 $0.00 $0.00 $.0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $20.00 Balance ·oue; Inspector: • , • : • -~ .. 1· .-, .~ FINAL APPROVAL Date: 2-I .2 -/,e:} Clearance: 1, -ta .. , b $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY io water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees.lexactions of which vou have oreviouslv been aiven a NOTlr.E similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. .;l l ·~ «~~ ~ CITY OF CARLSBAD JOB ADDRESS "2--S b I Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 y; 0 n Fax: 760-602-8558 www.carlsbadca.gov ,p SUITE#/SPACE#/UNIT# r' • Plan Check No. Est. Value Plan Ck. Deposit Date APN CT/PROJECT# LOT# # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. lYPE OCC. GROUP DESCRIPTION OF WDRK: Include Sque,1e Feet of Affected Aree'(s) . Jto...,l -zoo EXISTING USE CONTAC.T.NAME. (If-Different FoJII App/leant) PROPERTY.OWNER NAME EMAIL ARCH/DESIGNER NAME & ADDRESS STATELIC.# PATIOS (SF) DECKS (SF) FIREPLACE YESD #_ NOD APPLICANT NAME ADDRESS'-f,3" /,/. CITY,-_ -_ j es: c v"1.1l'f ; PHONE 7 v o If ?-"I t 'J' EMAIL . STATE LIC.~ .J. I :J,30 AIR CONDITIONING YES D NOD FIRE SPRINKLERS YES D NOD 0, ZIP 12-P?,r CllY BUS. LIC.# -z:2') ~b (Sec. 7031.5-Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement ttiat he is licensed pursuant to.the provisions of the Contractor's License Law '!Chapter 9, commending with Section -7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged.exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicaflt to a civil penalty of not more than five hundred dollars {$500)). . Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Cl I have and wlll maintain a certificate of consent lo self.i.nsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. . ~ have and will maintain workers' co ensalion, as require by Section 37(}0 of the Labor-Code, for the performan of the _)York' r which this permitis issued. My workers' compensation insurance ~~er and policy { .numberare:lnsuranceCo.01 Af Jlllf\, PolicyNo. f'J' 7 Jl Qo3 ExpirationDate -?.-::;-2..-0/l This section need not be completed if the permit is for one hundred dollars ($100) or less. Cl Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage ls unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addHion to the cost of compensation, dam es as provided for in S cfon 3706 . the ~ode, lnterei;.t.and a!lorneY,'s fees. ~ CONTRACTOR SIGNATURE . 0AGENT . !lflillll!!!I.. !1!11111 . I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: Cl I, as owner of the property or my employees v,ith wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvemenls are not intended or offered for sale.'lf, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). Cl I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licens_ed pursuant to the Contractor's License Law). Cl I am exempt under Section ___ __,Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. Cl Yes CJ No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) lo provide the proposed construction (include name address/ phone/ contractors' license number): 4.1 plan lo provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ conlraclors' license number): 5. I.will provide some of the work, but I have cpnlracled (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): ~ PROPERTY OWNER SIGNATURE CJAGENT DATE Is the applicant or future building occupant required to submit a business~! cutely hazardous materials registmtlon lorm or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Cl Yes Is the applicant or future building occupant required lo obtain a permit fro the air pollution control district or~lr qu lily management district? Cl Yes ~o Is the facUlty to be constructed within 1,000 feel of f!ie ouler boundary of·a school site? Cl Yes o 'iF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED LESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS C:lF THE 0FFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certtfythatl have read the application and state that the above Information Is correct and that the Information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to blllldlng construction. , I hereby authorize representative of the City of Carlsbad to enter upon the above menlloned property for inspecllon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINSTALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or conslruction of slructures over 3 slo!ies rt heighl EXPIRATION: Every permit issUed by the Building Official under the provisions of this Code shall expire by linitallon and become null ancj void ff the buHdklg orWOIK authorized by such permit is not cornmenoed within 160 days from the dale of suph permil or if the buldklg or WOik authorized by such permit is suspended or abandoned at any time after the WOIK is commenoed for a period of 180 days (Section 106.4.4·WniM Building Code) . .,6 APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 07/02/2010 Permit# CB101213 Title: JFRTF TEMP POWER POLE Description: 200 AMP Type: ELEC Sub Type: Job Address: 2561 ORION WY Suite: TP Lot: 0 Location: APPLICANT POWER PLUS Owner: Remarks: LATE AM OR PM INSPECITON Total Time: Act Comments Inspector Assignment: Phone: 7608399430 Inspector. Y ---=- Requested By: MICHELE Entered By: CHRISTINE CD Description 32 Const. Service/Agricultural .if_ _____ _ ----------~------------------------- ---------------------------------------- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments !\ ' ; A ~Sempra Energy· company 06/30/10 Confirmation of meter and service request Customer: Ledcor Construction Phone 858 566 6030 Service Address: 2561 Orion Way TP, Carlsbad, CA DPSS# 056919-010 Contact: Michelle Scott Phone 760 839 9430 We have investigated your request for temporary service and determined that the facilities you have identified as D3560068831 are mechanically available for your use in providing temporary power for your project. If temporary service is to be provided underground, please place your facilities no closer than 7 ft or no further than 20 ft from the Utility source described above (see generic sketch below.) We can schedule the installation or your facilities upon receipt of both billing application, municipal inspection. For questions concerning this form or further information call San Diego Gas & Electric at: I Bruce Sisson 760 931 7301 j General Customer Information. Meter height= 4'0" min -6'3" max from finish grade to centerline of meter base. Meters are required to be readily accessible 24 Hrs. /day Meters must be located in a safe area free of any potential hazards or dangerous conditions. Provide 3~ x3' clear and level working space in front of meter. Where meter room is proposed, contact the nearest SDG&E office. Meter bases and service disconnects must be located at or immediately adjacent to each other and be identified with address ~d unit number it serves. For dead front transformers, trench to Facility in the shaded area , Dead front ' Transfonners . ·, ··. " . . ( ) I ,, : I f-.. :::::.-:~. ,__,_ _.______, -· 3' x3' •' .. , · . . : Clear& : •,' Level in " Front of mtr. .. ', •' ,, ..... Overhead services: must maintain a minimum of: 12 ft@ point of connection. 18 ft@ center of street or 12 from curb whichever is less. 16 ft over commercial driveways, 12 ft over residential driveways. Maintain all required G.0.95 clearances. Underground services: phone Dig Alert 1-800-422-4133 at least 48 hrs prior to installing to verify the location of underground utilities in the vicinity. Main Switch 200 amps Single Phase 3 Wire 4 meter clips 120/240 Volts Utilities maximum contribution to fault current 1 OK AIC amps Customer owned facilities to receive electric service are subject to all applicable local and state of California inspection authority requirements. Building address and/or meter base must be posted prior to meter set. Information on this sheet is void after 6 months from date of issue. If SDG&E encounters hazardous or toxic material while performing construction of your project, work will halt immediately and it will be your responsibility to remove and/or clean all hazardous or toxic material prior to SDG&E continuing construction. $DG&E shall have no liability or obligation to clean, remove or remediate-any bazardous or toxic material· discovered during the course of construction. Unless it is through negligence of SDG&E. qeadfront (S).doc revised 12/29/00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-27-2010 Electrical Permit Permit No: CB100958 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2560 ORION WY CBAD St: TP ELEC Status: Parcel No: 2090502600 Lot#: 0 Applied: Reference #: PC#: Project Title: FIRST RESPONDER-200 AMP TEMP POWER POLE Applicant: POWER PLUS 436 N QUINCE ST 92025 760 839-9430 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 200 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: CITY OF CARLSBAD PUBLIC AGENCY 00000 ISSUED 05/27/2010 LSM 05/27/2010 05/27/2010 $10.00 $50.00 $0.00 $0.00 $0.00 '$0.00 $0.00 $0.00 $0.00 $0.00 $60.00 Total Fees:. $60.00 Total Payments To Date:. $60.oo· Balance Due: Inspector: ! ;.t ~-. ~ i.> ' Fl NA't:PP.13,OVAL Date: • ·1 · /0 .. Clearance: <s.-:::'.> ~ \L::> $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions," You have 90 days from the date this permit was Issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth In Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. ~1 .l:\ ~ ! «~~ Building Permit Application -l Plan Che~k No.ab to 0-9. S"2$' \ ~ CITY OF CARLSBAD JOB ADDRESS -z_ 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov TP SUITE#/SPACE#/UNIT# .,. _ -Est. Value Plan Ck. Deposit Date Sf ;;J-/ { 1 O APN CT/PROJECT#· BEDROOMS # BATHROOMS CONSTR. lYPE DCC. GROUP GARAGE (SF) ADDRESS CITY PROPERTY OWNER NAME Lt:. ARCH/DESIGNER NAME & ADDRESS-STATE UC.# PATIOS (SF) DECKS(SF) FIREPLACE YESD #_ NOD APPLICANT NAME STATELIC.# 37337) 0 AIR CONDITIONING YES D NOD FIRE SPRINKLERS YES D NOD (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve; demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commending with Section -7000 of Division 3 of the Business-and Professions Coae) or that he is exemJ;)t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). _ Workers' Compensation Declaration:/ hereby affirm under penally of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which lhis permit is issued. '~ have and will maintain workers' comps ation, as req 'red bY. Section 3700 of the Labor Code, for lhe performanc of e wg(k I r hich this permit is issued. My workers' compensation insurance canier and policy { -number are: Insurance Co. V\, -' .I' .Policy No. &-7 I ~ 0 .3 Expiration Date J:-31-J / This section need not be completed If the permit Is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of lhe work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' CompensaHon Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to !he cost of compensation, damages as pr · ed lo In Section 706 oft Labor code, Interest and attorney's fees. Af CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: Cl I, as owner. of the property or my employees with wages as their sole compensation, will do the work and the structure is npt Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who does.such work himself or through his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or improvement Is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of sale). Cl I, as owner of the property, am exciuJlvely contracting with licensed contractors to·construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and contracts for such projects with contracto~s) licensed pursuant to the Contractor's License Law). Cl I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property Improvement t:l Yes t:l No 2.1 (have/ have not) signed an appllcatlon for a building permit for the proposed work. 3.1 have.contracted wllh the following person (firm) lo provide the proposed construction (Include name address/ phone/ contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number): 5.1 will provide some of the work, but I have contracled (hired) the followlng-persons·to provide the work indicated (Include name/ address I phone/ type of work): Af PROPERTY OWNER SIGNATURE l:IAGENT DATE C•OMP,L'ETE T,Hl:S SECTION if'O'R 'NON•'RES'11>EN.T"f,A.1 B·UIJ.DING 'PE'RMJT!S O'NL"V • ' Is the applicant or future building occupant requlred'to submit a business p~a acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? !J Yes . o · Is the applicant or future building occupant required to obtain a pennlt from e air pollution control disliict or alr~u lily management district? !J Yes ~o Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? !J Yes o IF ANY OF THE ANSWERS ARE YES, A FINAL <;:ERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UN ESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS C:lF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above lnfonnation Is correct.and that the lnfonnatlon on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. !I hereby aulholize represenlative of lhe City of Carlsbad to enler upon lhe above menlioned property lor inspeclion purposes. I Al.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE G:ITY OF CARLSBAD :AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN.CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pennit is required lor excavations over 5'0' deep and demolition or construction of structures over 3 stories ii height. EXPIRATION: Every pennit issued by the Building Official under the provisions of this Code shall expire by Imitation and become null and void ff the buHd11g or WOik aulholized by such pennil is not romnenoed Ytithln 180 days from the date of such pennit or If the buldilg or work au · . ch · ded or abandoned at any time after lhe work is commenoed lor a period of 180 days (Seclion 106.4.4·Wnlfonn Building Code). ~ APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 06/03/2010 Permit# CB100958 Title: FIRST RESPONOER-200 AMP TEMP Description: POWER POLE Type: 1:;LEC Sub Type: Job Address: 2560 ORION WY Suite: TP Lot: 0 Location: APPl,.ICANT POWER PLUS Owner: Remarks: Total Time: CD Description Act Comments 32 _c_o_n_s_t._s_eN-ic_e_~_g_ri-cu_1_tu_ra_1_f-- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection HistoGt, Date Description Act lnsp Comment:;; Inspector Assignment: Inspector: -------- Requested By: MICHELE, Entered By: CHRISTINE City of .Carlsbad •,'ll· t 1635 Faraday Av Carlsbad, CA 92008 12-11-2006 Mechanical Permit Permit No: CB063358 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2560 ORION WY CBAD MECH Status: Parcel No: 2090502600 Lot#: 0 Applied: Valuation: $0.00 Reference #: Project Title: SAFETY CENTER: HVAC SYSTEM UPGRADE Applicant: CITY OF CARLSBAD PUBLIC AGENCY 00000 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES 0 0 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owrier: CITY OF CARLSBAD PUBLIC AGENCY 00000 Total Fees: $0.00 Total Payments To Date: $0.00 Balance Due: Date: Clearance: . . ISSUED 11/28/2006 JMA 12/11/2006 12/11/2006 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 NOTICE: Please take NOTICE that approval of your project Includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referted to as "fees/exactions." You have 90 days-from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest arid any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure·to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are-hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any · · · Iv · ii r · r whi h·the st f limitations h r u I herwis FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. Ct?Qb 3 =>S\(' l ' _, ,. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Legal Description Lot No. Subdivision Name/Number Total # of units 8-b'l oso uoo bff:tt...C $V,~Pv~l,,.; Existing Use SO. FT. #of Stories # of Bathrooms City State/Zip Telephone# Fax# '~f -;r\," "~M"7~,··4 ~ "$-i'<tj'{,,H ,i,_,'<,l, 't,,\s~~~/\i~4,& Vu,)J ',t.., ; ~ ,J.:-,~~·,!;,~,~ ~~aeint\v,W.@t&,""'~;;;.""""':~ ,t~~l,Sil/~i>t/-~"!::fef~f:''.1"t:tq??ft;,;i-'1 Name Address City · State/Zip Telephone # ~~~FYffl~~~ciM::~A~,:t~0 ~~~~eg;7J1½~.~~~E~!L0~~:1r~:);~f-ff;/7 f§Jr,~§iI~tQ!fuM~M~lilM.l~.:.,.:;_;.,;;,__..:,"'~ w:~. ;,:..:.:.,~f;_''.7_-::---"" (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). Name Address City State/Zip Telephone# State Li'ciense #--'--------License Class ________ _ City Business License # -----'---- Designer Name State License # Address City State/Zip Telephone :;:;::;;;:;;;;;;;;;;;:;;;;;;;::;;;;;;::;;;:::;::;:::;:::::: i~~RU9J1dNJl'~tl-:~~-; ,,. } · ~~=-~ .. _:,,,~:r --~:-::,J~J:~.~:Bi~L~:i:t~~;:;"'~~::2t:>~~:~i~~-;zc2::~fif~X':~.[~23E~~ll Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company____________________ Policy No.____________ Expiration Date ______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0-CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorn!)y's fees. SIGNATURE. _________________________ ....,. ____ DATE _________ _ tz2£Q.,,WJii.iilltii~IlftllE(t~Qti::..:~~2-~.v-:~:==:2:~li:==:~;~C:.ttr~:~~~A;~:-~,~P£-J~~~~~~:r~~~~~Ji~:if:~:~:;:~::::~'.~~~ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044 Business and Professions Coda: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who does such lmself or through his own employees, provided that such improvements are not lntended or offered for sale. If, however, the building or improvement is sol ithin one year of completion, the owner-builder will have the burden of proving that he did not build or improve for, the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of pfoparty who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). · 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yl;S ONO 2, I (have / have not) signed-an application for a building permit for the proposed work. 3, I have contracted __ with the following parson (firm) to provide the proposed construction (include name / address / phone number/ contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include nam~ / address / phone number/ contractors license number):._,..---------:..----------------------------=-------,.-- 6, I will provide some of the work, following persons to provide the work Indicated (include name / address / phone number / type ·of work)=---------++-41if.-_,..,,_,._.....,n,...,..'------------------=-=-+---+------------ PROPERTY OWNER SIGNATURE l'i.'~~i:.t.,'li."oi.,!I,-......,.,.. ... ~ ~S!4U.UPJ.il&Yll.l!ULr' Is the applicant or future building occupant required to-submit a business plan, acutely hazardous materials registration form JI(' risk management and prevention program under Sections 25605, 25633 or 25534 of the Presley-Tanner Hazardous Substance-Account Act? D YES ~O _/ Is the appllcant or future building occupant required to obtain a permit from the air pollution control district o~ality management district? D YES Er'No Is the facility to be constructed within 1,000 feet of the outer boundary of a school-site? 0 YES e3"'No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLES$ THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS-OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. Fa~iiti~Wiiia,~-,,,.,,~, ,,.,,,_ .. ", .•r• ., .. -~o:.-~~....,..,_.,......,......., .. ·'«l•<'·'"'"w.t,.1.;~~ •. : ;·:;._~1~~-""'I ix~mff~1."• ~~....:.:;,.~~...:....;:.:;-~_:,.t!l-:i:.;;.:..z~~~-'<+~':.~.&':!i.7...'tf~~':.~i!R~J..:~tt:~t't~::,> ~~ ... ~~-~.¼."t,,~\;:.~:iir.I-.~~:;!1~~~~~i.:~:! I hereby affirm that thare is a construction landing agency for the performance of the work for which this permit Is Issued (Sec. 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS EJ1At~~@~R~.;,;;;. __ ;;;_;;;;;;;;tl;;;·iatiAfl;_ ;;;;:;;;_ ;;;;;;:~=.::::;::::~_;;::i..~=,:;::~~:;~;:_:;:: ___ :;:_:; __ :::: ,:: __ :;:;;,:;:;~= . .,.:...:::;-1::."~·-~-~..;.~::~.:,~t:,:;,~:.;;;~:;.:-~--;.;;:.-~~~w;:;;~:::;;~:;;;.::;:i:;_,,;;;~~;;;,,;:;~;:;;~~;;.~;:;;£;;:~~;:;::i-;;;:~:;;; ... ;:;:i:~;;;.,::;;.~t;;;~t;;:·r;;:;~;~=""':.:.::::.-:,:;:t~:::-~:;;2~:=-;1.,:;;;-bi:..';:;~:;:;,_.;;;:{~;:;:1r.;:;;,:::::~;;:; ___ ;;::,,_,::::~~:;:;~;:::u..:;;;t,;;;~~:;"!';'!';;:,.tt:;:;1~:;;,,t;::;i.r;:::·~~;;:;:;:~;:;~~ I certify that I have read the appllcatlon and state that the above Information is correct arid that the information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the CIW of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, (:OSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID'CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit ls.requir EXPIRATION: Every permit iss d authorized by such permit is·not om at any time after the work is co . me APPLICANT'S SIGNATURE -A..J.f.~Dl.-=:..~tllL~~==:~:::::=. ________ ___._ WHITE: FIie YELLOW: Applicant PINK: Finance [. UNSCHEDULED BUILDING INSPECTION DATE. 1-/-J[~O~ ... PERMIT# Vft3,56Y · INSPECTOR _f'<~-· ..;;;;:C:.....__ __ .-PLAN ·CHECK#. -------- JOB ADDRESS ,a<fb--' ~o. ORJ,(5(1 0r . DESCRIPTION_· --~-------------f'_P_~ __ ... __ __,,;. · CODE- !11 ~ PESCRIPTION · COMMENTS ODD ODD :JD 0 PLANNING DEPARTMENT BUILDING PLAN CHECK REVIEW CHECKLIST ' , Plan Check No. CB O(o ,-.~ B~S? Address ~ vlou .Z? Y1~~ Planner· . . Erin Endres. . . . Phone (760) 602-4625 l:;_j APN: c2 O°l -05 Q r--cxfo-'60 Type of Project & Use: _________ Net Project Density: DU/AC Zoning:. ___ General Plan: .. Facilities Management Zone: ..... __ _ CFO (In/out) #_Date of participation: ____ Remaining net dev acres: __ Circle One (For non-residential development: Type of land used created by this permit: ____________________ ___, .Legend: 181 Item Complete D Item Incomplete -Needs your action Environmental Review Required: Yl;S _ NO TYPE ___ _ ·DATE OF COMPLETION:-------------- Compliance with conditions qf approval? If not, state conditions which require action. Conditions of Approval: Discretionary Action Required: YES NO TYPE ___ _ APPROVAURESO.NO. ______ DATE __ PROJECT NO. ________ _ OTHER RELATED CASES:-------------------------- Compliance wlttlconditlons or approval? If not, state conditions which require action. Conditions of Approval:.___,. ______________________ _ Coastal Zone A••-ment/Complfance Proj~ct site located in Coastal Zone? YES_ NO_:__ CA Coastal Commission Authority? YES_ NO_ If California Coastal Commission Authority: Contact them at-7575 Metropolitan Drive, Suite 103, San Diego CA 92108-4402; (619) 767-2370 , · Determine status (Coastal Permit Required or Exempt): Coastal Permit Determination Form already completed? YES NO_ If NO, complete Coastal Permit Determination Form now. Co~tal Permit Determination Log#: · ___ _ Follow-Up Actions: , f : • ...., • . •.• 1 .,-"; ., t"', ,-,.. I .~.-... .,.-, f"':\ '-ri( ~) :}•• f' 1), Stamp Building':,PJarts as'7E~empt'(or "Coastl1·Pehnit Required" (at miry1mum Floor Plans). 2) Complete Coastal Permit Determination Log as needed. lnclualonary Housing Fee required: · YES_ NO_ (Effective date of lnclusionary Housing Ordinance -May 21, 1993.) Data Entry Completed? YES_ NO_ (A/P/Ds, Activity Maintena·nce, enter CB#, toolbar, Screens, Housing Fees, Construct Housing YIN, Enter Fee, UPDATE!) H:\ADMIN\COUNTER\BldgPlnchkRevChklst Rev9/01 DOD ODD ODD ODD ODD ODD ODD DCJD DOD Site Plan: 1. Provide a fully dimensional site plan drawn to scale. Show: North arrow, prope,rty lines, easements, existing and proposed stryc_!l;!r~~.:.str.•ts\;existing street improvements, right-of-way width, dimensional set~acks and:-'existlng· topographical lines (including all side and rear yard slopes). 2. Provide legal description of property and assessor's parcel number. Polley 44 -Neighborhood Architectural Design Guldellnes 1. Applicability: YES ___ NO __ _ 2. Project complies YES._-__ NO __ _ Zoning: 1. Setbacks: Front: Required_· _____ Shown _____ _ Interior Side: Required Shown _____ _ Street Side: Required Shown _____ _ Rear: Required Shown _____ _ Top of slope: Required Shown _____ _ 2. Accessory structure setbacks: Front: Required ______ Shown _____ _ Interior Side: Required Shown _____ _ Street Side: Required Shown _____ _ Rear: Required Shown _____ _ Structure separation: Required Shown _____ _ 3. Lot Coverage: Required ______ Shown _____ _ 4. Height: Required ______ Shown _____ _ 5. Parking: Spaces Re.quired ______ Shown _____ _ (breakdown by uses for commercial and Industrial projects required) Residential Guest Spaces Required ______ Shown _____ _ Additional Comments_· ---. · -· ~~ . . -- P~ roof moun~ed eau-iomerrt ass~ci=ted with this building ~rm~ort~ri~!ulg~~ntS: screened by an existioa parapet wall or 1, new screening material reaujred? Please see the attached ~c axamPIM( l ~ .S :O~\ OK TO ISSUE AND ENTERED APPROVAL INTO COMPUTER _____ DATE. ___ _ H:\AOMIN\COUNTER\BldgPlnchkRtvChkllt RIV 9101 < .. ) ' PLANNING/ENGINEERING APPROVALS PERMITNUMBERCB e, · 33io DATE ADDRESS __ ;)_~ ?;_0_· __ 0_~.....____· _____ kJ_1 ____ _ RESIDENTIAL RESIDENTIAL ADDITION MINOR C < $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILD.ING OTHER ~ _______ ...__ ___________ ____, ____ _ PLANNER DATE ----~-------- DATE oocs/Misforms/Plannlng Engineering-Approvals :,.,,<P,;·"' ~-; ~c-::""· .C,arlsbad Fire Department Plan Review Requirements Category: MECH , Date of Report: i2-05-2006 Name: Address: Permit#: CB063358 Job Name: Job Address: SAFETY CENTER: HV AC SYSTEM 2560 ORION WY CBAD Reviewe~ · tern ou have submitted for review is incomplete. At this time, this of adequately conduct a review to etennme co or standards. Please review carefully all c · ease resubmit the necessary plans and/or specifications, _w1 ice for review and approval. Conditions: Cond: CON000l 752 [MET] No Comments Entry: 12/05/2006 By: MS Action: AP II ·,I l C ~ J i • DATE: December 7, 2006 JURISDICTION: Carlsbad PLAN CHECK NO.: 06-3358 E.sGi_l Corporation. In <Partnersli.ip witli <}011ernment for<Buifaino Safety SET:I PROJECT ADDRESS-: 2560 Orion Way PROJECT NAME: Safety Center TI O~CANT ~ 0 PLAN REVIEWER 0 FILE D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. ~ The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected pl~ns are submitted for recheck. D The applicant's copy of the check list is enclosed for-the. jurisdiction to forward to the applicant contact person. D· · The applicant's copy of the check list has been sent to: ~ Esgil -Corporation staff did not advise the applicant that the plan check has been completed. D Esgil Corporation staff did advise the applicant that the plan check has been completed. PeFson contacted: Telephone#: Date contacted: (by: ) Fax#: Mail Telephone Fax In -Person [2J REMARKS: Tl consists of HVAC control change out only. OK to issue with the applicant writing the red-clouded note from the Owner set onto the City set. By: Bryan Zuppiger Esgil Corporation D GA D MB D EJ D PC Enclosures: 11/30/06 trnsmtl.dot 9320 Chesapeake Drive, S1.1ite 208 + San Diego, California 92123 + (858) 560-1468 + Fax (858) 560:.1576 .• Carlsbad 06-3358 Deceuibet 7, 2006 JURISDICTION: Carlsb~d VALUATION AND PLAN CHECK FEE PLAN CHECK NO.: 06-3358 DATE: December 7, 2006 PREPARED BY: Bryan Zuppiger BUILDING ADDRESS: 2560 Orion Way BUILDING OCCUPANCY: B TYPE OF CONSTRUCTION: VN BUILDING AREA Valuation Reg. VALUE · PORTION (Sq.Ft.) Multiplier Mod. .. - .. Air Conditioning Fire Sprinklers TOTAL VALUE Jurisdiction Code cb By Ordinance ·Plan Check Fee by Ordinance Type of Review: D Complete Review D Structural Only 0 Repetitive Fee CE] Repeats t Based on .hourly rate comments: D Other 0 Hourly I . 11 Hour* Esgll Plan Review Fee ($) $120.001 sgs.001 macvalue.doc City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-18-2003 ;; t'· Plum:bing Permit Permit No: CB033180 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: PIPES PLUMBING 2560 ORION WY CBAD PLUM 2090502600 Lot#: 0 Construction Type: NEW POLICE DEPT-GAS LINE REPAIR AND REPLACE Owner: CITY OF CARLSl3AD Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/18/2003 MEL 11/18/2003 11/18/2003 1145 LAW ST 92069 434-3067 PUBLIC AGENCY 00000 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Total Fees: $27.00 0 0 0 0 .0 1 0 Total Payments To Oat~:' }'-· ·$0.00 Date: PPROVAL -z6.., 0? $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0,00 $0.00 $0.00 $0.00 $0;00 $27.00 Balance Due: $27.00 8987 11/18/03 0002 01. CGP Clearance: ------ NOTIC;: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth In Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing-in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their Imposition. You are hereby FURTHER NOTIFIED·that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees In-connection wlth·this project. NOR DOES IT APPLY to any hi r vi im I hi' wh' fli · i r i I t Is ·red. 02 27-00 FOR OFFICE USE ONLY P~RMIT APPLICATION PLAN CHECK NO.C$0 )3 )<{() CITY OF CARLSBAD _BUILDING DEPARTMENT '1635" Fataday Ave., ·carlsbad,'1CA 92008 EST. VAL. ___________ _ Plan, Ck. Deposit __ . _,,.·---·--,---,---- Validatea !Y.,,.·..,,..,..M-~------------ Date I(!{ r/ Q3_ Address (include Bldg/Suite #). l.:egal Description Assessor's Parcer # Rrl1"u,e:6 Description of Work Lot No. Subdivision Name/Number Unit No. Phase No. Existing Use t../NtS'" SO. FT. I I Proposed Use v/4,_. fo,e,r,P~/1/~lf()tllflt) ._ #of Stories . ' # of Bedrooms Total # of. units· # of Bathroo'ms _Name Address City · ·stl!te/Zip Telephone# . -· _ i'.~~::li~JJ~~iijN;,rfi:::~1~~f~;:':0.~1t2E!'.:2?:~s.~·c::&.t:t~~]il:~:i}::~.'bl±:Hir~:'.l#~Jii¼lt;\!,~1~Vo;k~~L,~'.:t~l~~f&:::ttr;:;;i~~t2}~~~1,at~:F0'lt;;,l .Name Address · · City. S.tate/Zip Telephone #· · .ir~P.NtRgm1J~;rt:W.t11~~~:::~~8&~:ili}~~:~-s~>J~>¥:-0~zT11-.2~~JB~Lfa~~~s~~~~~1%!tt;;~~~~c~~:-~:~1~:~:11 .(Sec. 7031.5 Business and Professions Code: Any City ·or County which requires a permit to construct, alter, improve, demolish or repair alJY structure, prior to its 'issuance,' also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged· exemption. Any violation of Section 7031.5 by any applicant for a permit subjects t/le applicant to a civil penalty of not more than five hundred dollars ($500]). f•P~ 71..,JM~'"''° r l'i.S: c l'tv ~, >"17,i l,41'4y2u>s Ca.A Szoc,~ ~ y,?t..rp~o(:, 7 Name Address · City State/Zip Telephone# · · State License I eo ~ w License Class _ c-~ 1, e:, City Business License u L'l c, 8 \;{ s·-:r ?O '(9' 3~ . Designer Name Address City-. State/Zip Telephone State License#--'-------- r,~~\wo)il§ifSSq(Ue.1pjNS'Aftic)~~:;:;;:~~::-:~ :7Xr~l,i~~,-:~:::~;:1:f:''-~\3:"F1~~~v~~~~~~~iS.r£r~~~~~;~~~~~&~~~,~~~ Work-;,;;; Co~pensati~n D;~-i~7at"l;;n; 1'hereby affi;m un'J;;tpe-;.;;ity of perj~;y~9;e-~f-the-f;iio--;i~g-d;;i~rationst ----·= " , ... ,, = · ·-~-· ·o I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier an~policy number are: Insurance Col)1pany -Z IE fl /-f /4 ;[.,1~ L 6 , . . Policy No. Z04'i 2.8")30 I Expiration Date ~. Ait / 03 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMlnS-FOR ONE HUNDRED-DOLLARS [$10QJ OR LESS) ~ 1 [j CERTIFICATE OF EXEMPTION: I certify _that in the performance of-the work for which·this permit is issued, !'_shall not employ any person in any manner sq as to become subject to the Workers' Compensation Laws of California. · · WARN!NG: Failure to secure workers' o ensation coverage la unlawful, and ahall· subject an employer to criminal penalties and civil fines up to one hundred thousand dollars I 0,0001, n st of compansatiim, damages as provided for in Section 3706 of the bor ode, iQterest and attorney's fees. ·s1GNA TURE. DA TE ( lJ 0"!, . ' tl:~SYNJJil(ltf.tfii!i~~e.~lil:fJolai'-:~ · ~~tL£\'.b::t'.i~i1~::f~~~~~~~~t~1i~~~~l~tf~\¥:Pi:£i~~1§~-:~k~r,:~fJ~~t;~~J~:M!t~~~~;~~;~~j J her11by affirm that I am exempt from the Contractor's License Law for the following reason: ··o I, as owner of the property or my employees with wages as their sole compensation, will do the V.:ork and the structure is not intended or offer13d for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who build!!. or improves thereon, and Who does such work himseif or through his own employees, provided that such improvements are not intended i;,r offered for sale. If, however, the bulldi_ng or Improvement Is sold within one year of completion, the owner-builder will hive the burd~n of proving that·he did no1 build.or improve,fqr the purpose·of sale). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project 1s·ec. 70A4, Businei;s and Professions Code: The Contractor's License Law does not apply ·to an owner of property Who builds or improves thereqn, and contracts f9r such projects with contractor(s) licensed pursuant to the Contractor's License Law). · .O I am exempt under Section ______ Business and Professions-Code for this reason: 1. 2. 3. I personally plan to provide the.major labor and materials for construction of the proposed property improvement. D YES ONO . ' I' (ha\/e / have not) signed an application for a building permit for the· proposed work. I have contracted with the f9llowing person (fir'm) to provide the .proposed con!ltruction (lnc;luda name / address / pho.ne· number / contractors license number): .. ' . 4. I plan to provide, portions of the work, but I have hired the following person to coordinate, S\Jpervise and' provide the mpjor work (Include name / address / phone number/ contractors license number): --------------.,.,..-,----,--.,..,..---'--,,,------'-,.------------------- 5. I will provldl! some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number /-type of work):. _______ -,-______ ..,__ __ ..,... ____________ _,..__,_ _______ .__ _______________ _ PROPERTY.0.WNER_SIGNATURE . ·-DATE ___ ._. ____ _ BmliHfttti~.It~@Itz;(~iOJ~niifriMll{fiN~IJ~ii'b:J:f::'.t~t:filli~~~w~i~~~~:f~1~Vj Is the applicant or future building occupant required to submit. a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Haza.rdoiJs .Sybstance Account Act? tJ YES D NO · Is the applicant or future building occupant required to obtain Ii permit from the air ,pollution ·c~ntrol district or air quality ma~agement district? D YES D NO Is the facility to-be constructed within 1,000 feet of the outer bounda'ry of a sch(!ol site? D YE$ 0 NO IF ANY OF THE ANl:!WERS ARE•YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE 'REQU,REMENT~-OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. -m~~1imtfmf9.~q$~Fllt~~~~r:s:~~~f2!Zit~i~~~~-t:fJ~m~~2-:11.~~~~~gmri1i~~{a~~~:G:~].r~i0: I hereby affirm that there is a construction lending agency for the performance of th11 work for which this permit is issued (Sec.. 3097 (I) Civil Code). LENDER'S N_AME ---,---------------LENDER'S ADDRESS_,_. -------------,----,-------,--- 00i¾i~~8.~~~.tMlt.t~f!lllUJ2¥;'1i'.,';.~~iJ.i2&?;;~~~~~~-a,._~~~5f'.J!.~~~¾8~ I certify that I have read the application and state that the above information is correct and that the ir:,formation· on the plans is ,accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives. of the C!tt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLES$ THE CITY· OF CARLSBAD AGAINS.T ALL LIABILITIES·, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolltl~n or, construction, of strui:tures over 3 stories in height. EXPIRATION: Every permit issued by the' building Official under ihe provisions of this Code shall-expire by limitation and-become nui1 and void if the bulldlng_ or work auth9rlzed by such permit-rs not commenced wlth(n 180 days fro e date of-such permit o~ If the building.or w_ork 1:1uthorlzed tiy such perml_t Is suspended-or, abandoned ·at any time after the work Is commen for a per o f 180 Section 106.4.4 Uniform.Building Code). _ /. / APPtlCANT'S SIGNATURE -h~-::t:_.L.J:.=.;.,.ldd.11!:::::;;.__.,.....,..2. _______ .______ DATE t'f(.l;qs . :YELLOW: Applicant PINK: Finance WHITE: File City of Carlsbad Bldg ·Inspection Request For: 11/19/2003 Permit# CB033180 Title: POLICE DEPT-GAS LINE REPAIR Description: AND REPLACE Type: PLUM Sub Type: Job Address: 2560 ORION WY Suite: Location: APPJ_ICANT PIPES PLUMBING Owner: Remarks: ready at noon Total Time: Lot 0 Inspector Assignment: Requested By: VERN Entered By: CHRISTINE CD Description A Comment /. _23_ -'--·G~a-s/T_· _es_t/_R_ep_a_irs-----+--~--r_•_<_oJ_· ~k~l-,--~~-----~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments II) z 0 .: C rr: =3 () l&I C C I[ 0 () C l&I 0 .., 5 I l&I z ~ z 0 .: ~ z l&I a. :E 0 () !,I) a: l&I ¥: rr: 0 31:: ~--0 I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in lull force and effect. Lie No ______ Class I hereby affirm that I am exempt trom the Contrac- tor'~ License Law for the following reason (Sec. 7031.5 Bu~mess and Professions Code: Any ~1ty or county which re-quires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the ap-phcant 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 of Divismn 3 of the Business and Professions Code) or that is ex- e~pt therefrom and the basis for the alleged exemptm~. Any violation of Section 7031.5 by an applicant for a permit sub· jects the applicant to a civil penalty of not more than five hun· dred dollars ($500). n I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the struc· ture ts not intended or offered for sale (Sec. 7044, Business and Professions ·code: The Contractor's License Law does not apply to an owner of property who .builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intend· ed or offered for sale. If, however, the building or improve· ment is sold within one year of completion, the owner-builder win have the burden of proving that he did not build or im· prove for the purpose of sale):, D l, as owner of the property, am exclusively contracting with licensed contractors to construct the 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 each projects with a contractor(s) license pursuant to the Contractor's License Law). D As a ~omeowner I am improving my home, and the follow-ing conditions exist: 1. The work 1s being performed prior to sale. 2. I have lived in my home for twelve months prior to completion of this work. 3. I have not claimed this exemption during the last three years. ~r :h~:r:~~~t under Sec ______ , B & P.C. 0 m Copy Is filed with the city Certified copy 1s hereby fur shed CERTIFICATE OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars {$100) or less) D I certify that in the ·performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers· Compen- sation Laws of California. NOTICitTO APPLICANT: If, after r:naking this Certificate of Exemption, you should become subject to the Workers· Compensation provisions of the Labor Code, you must forthwith comply wi-µt such provisiOl\s or this permit shall be deemed revoked. D I hereby affirm that there is a construction lending agency for the performance of the work for which this per- mit is issued (Sec. 3097, Civil Code) Lender's Name ___________ _ Lender's Adctress ___________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT QTY. QTY. PLUMBING PERMIT· ISSUE EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER ANO/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EACH INSTA~. ALTER, REPAIR WATER PIPE EACH VACUUM BREAKER WATER SOFTNER EACH ROOF DRAIN (INSIDE) TOTAL PLUMBING ELECTRICAL PERMIT· ISSUE NEW CONST EA AMP/SWT 1BK R 1 PH 3 PH EXIST BLDG EA AMP/SWT/BKR 1 PH 3 PH I REMODEL,ALTER PER CIRCUIT (619) 438-5525 QTY. QTY. v D N 0 REDEVELOPMENT AREA MECHANICAL PERMIT -ISSUE INSTALL FURN. DUCTS iJP TD 100.000 BTU OVER 100.000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 315 HP METAL Fl REPLACE VENT FAN SING LE DUCT MECH EXHAUST HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER TOH,L MECHANICAL SOLAR -ISSUE COLLECTORS STORAGE TANKS ROCK STORAGE PUMP PLAN CHECK FEE TYPE CONST DCC LOAD Fl RE SPA vO NO BUILDING PERMIT SIGN PERMIT PLAN CHECK TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILEHOME SCHOOL FEE -DISTRICT Carlsbad Encinitas San Dieguito San Marcos I TEMP PO LE 200 AMPS : OVER 200 AMPS LICENSE TAX I TEMP OCCUPANCY (30 DAYS) MFF VALUATION PERMIT i';"UMBER ZONE &! PLAN 1.0,# BUILDING SQ. FOOTAGE 001-810-00·00-8221 001·810-00·00-8806 001-810-00-00·8222 001-810-00-00-8223 001-810-00·00·8224 001-810-00·00-8225 001-810-00-00-8226 880-519-92-33 001-810-00-00-8227 332-810-00-00-8930 001-810-00-00-8162 880-519-92-5 7 I 1---+------------------+-------11---+------------------+--------11------------------+----l~c...J------1 i CREDIT DEPOSIT I I ~' I I I I TOTAL ELECTRICAL TOTAL SOLAR ~ ~ LL >, ~ 0 Cl. E (l) ~ ""O 0 0 c ctl -~ Cl. Cl. <( I X C a: 0 en en (l) en en <( I :::: .2 ai >- <J) en (l) (..) 0 ct ctl <ii Cl ~ (l) (..) C ctl C LL :::, C (l) ~ 0 0 t5 (l) Cl. en C ~ .c. ~ I TYPE I DATE INSPECTOR I .. ' \ -' ,, . .. '·. - ;,.t " BUILDING ' . ,, FOUNDATION I I FIELD INSPECTION RECORD ' REINFORCED STEEL t . MASONRY i GUNITE OR GROUT ' I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL SUB FRAME D FLOOR D CEIILING SOILS COMPLIANCE SHEATHING O ROOF D SHEAR FRAME I I EXTERIOR LATH I PRIOR TO -FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI INSULATION I INTERIOR LATH & DRYWALL I I PRESTRESSED CONCRETE POST TENSIONED ! CONCRETE PLUMBING I I FIELD WELDING D SEWER AND BUCO D PL/CO HIGH STRENGTH UNDERGROUND D WASTE DtWATER BOLTS . TOP OUT D WASTE D V,,ATER TUB AND SHOWER PAN I .. SPECIAL MASONRY . • f •. ···, . " ' ""1'._/F "'./{ 1( ' ·,, GAS TEST I PILES CAISSONS D WATER HEATER D SOLAR Wf\TER I ELECTRICAL I D ELECTRIC UNDERGROUND o: UFFER ROUGH ELECTRIC ' D ELECTRIC SERVICE D TEMP<i>RARY D BONDING D POOL I I I MECHANICAL I .,. . D DUCT & PLEM., D REF. PIPf.NG .. . ,, . HEAT "."" AIR COND. SYSTEMS ! .... VENTILATING SYSTEMS ' I I .. . .,.. '! :·, ... : ;,_' ',\_j t '\ ·~v:· · .. , ,~ '"' ,J"::. ,,-....,.,.. -· \~· ' -.. ' -,..._ ', I -,. , ' ·, • .,.,.\\-<ft"',;·-' ' .. . . .. ,, 'I. "'~ • ., \ ,. · . ( ' . ~ "' f ' ', .. .. ------· ,~ .... ~ ", "';~.\"'l,i· .' . PLUMBING ,:-· .,. \,_ ... ' > ,, . -' -,. ~ ·~ ._ ',.,~ ~ ·i; ! ' .. ,~-. ,, l .. ,_ ~ ·, '· ~ - ELECTRICAL MECHANICAL l \~ . \,' GAS BUILDING •,P UM// jVV l,, -· -· ·1//)V l~ .. /V{ r. \. ·' ; ;.,.:1 __ <:"" \,' ·;;:;·-~··· ., ~ ~ \. ' ., ' . ' . .. ' ... ,·~ \ ": I ~ .. . r' '. 'I: " \"' ., ... .; ~ '·-· -'\ ''. ' SPECIAL. CONDITIONS . ' f ... -- -· ... .]~~ l , I . l \ U) z 0 ~ a: C ... (;.) Ill 0 ![ IC• 1-, z 0 t.> O , ! hereby· affirm that I am-licensed under provisions-of Chapter-9, (commencing with Section 7000) of Division 3 of the 'Business -and Profeaslons Code, and my license -Is In full fqrce·and effect ffi,,. o' ..... 5 ,. ii: Ill z 3 0 • ·1 'h~r~6y ,alfirm that I am exempt .from the Contrac-tor's_L,cense Lal'f tor, the fo\lowing, reason (Sec, -7031.5 Business and .Prolessions Code; ·Any ~ity or county which re-quires a permit to construct, alter, nnprove, demolish, or repair any structure, pnor to its issuance also requires the ap-plicant for s~ch permit to life a signed statemen! that he ,s licensed pursuant to the provisions pl th~ Contractor's · • License· Law (Chapter 9 commencing with Sectfop• 7000 of · 01vis1on 3 of.the BUsin'eSS and'Profess1ons co'deyor that is ex-empt _t~ei!iJro/h;and'the qasis ID( tfi~ ~liege~ exemP,lion, Any .vmlatmo of Section.-7.031.5 by ao applicant lor;a.permit sub-jects the ~pplicarit to a civil penalty of not more than live hun- dred dolla!~-',{$500). I I. 1, as 'owner-orthe prilperty. or my employees.with wages as the_ir sole co_mpensatjon, w1\l·do,the work, and the struc--• ·ture is nol'lntended or·olfered for-sale (Sec. 704~: Business arld Professions Code: The Contractor1s ,ticCnse Law';does nol apply .i9.an ow~er ,of property wlio:bu,ids cir -improves ··thereo_n and whO does.such.work-himself or throlJgh:his.own. employees, provided that such11mprovements are not int8nd--ed or olfered for-sale: If. however. the build1rig:or improve-ment is sold within one yearol complellon: the owner-builder will have fhe burden of priiv)ng that"he did not·build or Im-prove for ,the purpose of sale). • 11 I, as owil,er·ol lhe property,' am exclusively contracling With licen;ed contr~ctors to construct, !he project (Sec. 7044, ~~!~e~~ ~~r a:~~~rg~;~ii~rb, p~~i~i~n~~~,g~ifd~i~~~~i --, . proves·thereon; and Who contracts for each projects with a cbn'tractor(s) license pursuant to the Contractor's License z 0 i z Ill A. :I ~ a: Ill ~ a: i .L~W). _ _ . fl Ma hOll\~Owner I am improving my home-, ~nd the.follow-' ing conditions-exist· ~-1. The work is,being,perlormed.prior to·sale. ,2 I have lived in my home for twelve months ,-, prior to completion of this work. 3, I have not claimed this exemption durmg the -last three years. ~r /J:r~~~~it under Sec.------· B'& pc. ' d · thereby affirm that I have a cert1f1cate of consent to self-Insure, or a certificate of Workers· Compensation In• sur~nce. or~ certified 9opy there9f \Sec 3800. Labor Code) POLICY NO. COMPANY 0 Copy ,s filed with the city D Certified copy Is hereby furnished CERTIFICATE-OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the permit Is for one hundred dollars ($100) or toss) D I certify that In the-performance of the work-for which this permit ,s Issued. I shall not employ any person In any manner so as to·become su~Ject-to the Workers' Campen-. sa)1on· Laws of California. NOTICE TO•APPLICANT:,lf. alter,mak1ng this Certificate of Exemption. you sho~ld become subject to the Workers' Compensation provisions of the tailor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked'._ 'ffi agen~Y: l~r thi!'perlormance of the work for which thl~ per• Q mil Is Issued (Sec. 3097, Clvll Code) [ . D I hereby.affirm that there Is a construction lending z . ~ •Lender'stName-~----------· .L~nder's Agdress,~------~---• USE BALL POINT PEN ONLY & PRESS HARD, . , APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREAAND-DECLARATIONS. .. "CARLSBAD BUILDING DEPARTMENT -, '. 2075 Ll~s, Pah'nas 0r., (:arlsbad; CA 92009-1915--(619) 438-1161 · -AP.P'-ICA tlON & _eERfe1JT -. -. --· --.. .. JOB ADDRESS. -~.:;-b <C). 0 ~ f,J -~ T_HOMAS BROS NO._ I D1Tl; AifllONI BUSINESS LICENSE # VAL(t?qN_ PERMIT NUMBER --~ .. --~ll!F&r..J U!II~ r-o.. ~-~Oy~3 LOT BLo'CK .-J sysD1v_1s10":I I ASSESSOR.PAF.ICEL NO. CONTAACTQAS PHONE ii .. ( ... vv . -~ ...... CONTRACTOR ZONE .. ~ \ . . _\L.,\LG,-AL.L<=> ~ OWNER'S N,t\ME ,. .. r OWNE R"S .PHONE . .. , . ', e..\,~ 'F <?..;~tiM CONTRACTOR'S ;,:DORESS STATE LICENSE NO. BUILDING SQ. FOOTAGE .. ·OWNER'S MAILING ADDRESS , , DESIGNER DESIGNER'S PHONE .. ' ciEsc·R1Pr10N oi: ·woRK \ "c? ,.,._ ~~ ~(2..-'1 ~'(>1.,1.d:> " . '. ·-· DESIGNER'S ADDRESS STATE !,.ICENSE·NO. ,. z~~ C-o ~$"'r~~ ~ '"<:> ~ .. .. -. . -t;~~ F/P F-LA ELEV. , NO . OCC GP EDU STORIE$ ... : . , . . .. vO NO --·-· I'. CENS_us ~RACT I PAAK:N~SPACE A.ES UNI.TS I GA~OING PERMIT I_SSUED I REOEVEL"OPMENT TYPE occ LOAD' FIRESPR .. AREA CONST I YO N 0 Y.0._rs;O vO NO Not Valid Unlesr Machi(le f;ertified_ -1-. --. Ql'Y. PLUMBING PERMIT -.ISSUE 7~ -QTY. MECHANICAL PERMIT--ISSUE /~~ SUMMAR¥/ACCOUNT NUMBER . . EAQH FIXTj.JRE TRAP -_ IN~JALL F_U~~' Du·ps UP TD 109',QQO_BTU llUILUINu PtHMII uu 1·810-00-00-~au . --.. .. ---. .. ---,. . .. . .. -.. E4CH BUILDING SEWER OVE'R 100,000 BT·U SIGN PERMIT -001-810-00-00·8221 EACH,WATE'R.HEAJ.ER ANDiDR_ VEN.T BOltER1CO_MPRE_SSOR UP'TD 3 HP .. , . , -Pl.:AN· CHECK 001-810-00·00·8891 EACH GAS SYSTEM 1 .TO 4_0!.JTLETS BOILER/COIVIPRESSOR 3-15 HP_ TOTAL PLUMBING ·oo 1-s 10-00-00-8222 EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRIC.A~ T T.' (Al~ -~ E/1.CH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANIC~ .LI .&.:.l...{o ____ -_~'"..~ · EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS MOBILEHOME 001-810-00-00-8225 RELOCATION OF EA FURNACE/HEATER .. ... II 00V81 aMHM8226 WATER SOFTNER SOLAR EAyH ROOF DRAIN ( INSIDE) DRYER VENT -STRONG MOT.ION. 880·519·92·33 TOH;L MECHANICAL FIRE SPRINKl!llv Al • ._ ' TOTAL PLUMBING ,I PUBLI---------,. -,~I DVC. -s~ QTY_-BRf!)GEFEf_ 360·810·00·00-87 40 . -. QTY. .. EtECTRICAL PERMIT -ISSUE MOBILE HOME SETUP PARK-IN-LIEU (AREA ) N,EW CONST EA AMP'SWT BKR CAR PORT TIF 312-810·00·00·8835 1 PH JPH AWNING ·-LA COSTA TIF 311-810·00-00-8835 ... . . . ... " EXIST BLDG EA AMP/SWT/BKR GARAGE FMF 1 _PH 3 PH .. . . . LICENSE TAX · 001·810·00-00·8-162 REMODEL'ALTER PER CIRCUIJ MFF 880-519·92·5 7 Tl:MP. PO LE ?OO A"1~S .. . . . . OVE A 200 AMPS -.. T.EMP OCCUPANCY (30 DAY.S) CREDIT DEPOSIT .. TOTAL ELECTRl'CAL I TOTAL T,QT.AL FEES PAYABLE I /1-'(J ~ I HAVE CAREFULLY, EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY E~plreti011. Every permit issued by the Building Olflc111 under the prov191ons ol this * ~" OSHA PERMIT IS AE0UtM0%,rttCAvATIONs 6veR ... CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ihall-expire by limitation and become null and void It the building or work 5' O'' DEEP ANO DEMOLITION OR CONSTRUCTION OF DECl:.ARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 15 authorized-by such permit II not commenced wJthtn 180 days lrom the date of such STRUClUAtS O'IER 3-STOAIES IN HEIGHT permit, or II the bultdlnft or work authorized by ,uch permit 1$ suspended 6r ., ISSUED: TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON• abandoned 11 anv time a er the work 1s commenced tor a oer,od ol 180 "•uR, STRt:JCTION. ·WHETl:IER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S ~URE 'f,./ 0WNER.0 CONTRACTOR 0 APPROVED BY ·~ ., DA;/i /4 KEEP HARMLESS THE CITY OF CARL'SBAD ~GAINST ALL LIABILITIES, JUDGMEN:fS, COSTS ANO /P!, · f'l;-'·\ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY 1N CONSEQUENCE OF THE ,--1""_ya BY PH0NE 0 ., ~·.-. ·:--17 7·}11 G~ANTING O!= THIS PERMIT. . • F ,r , _ ~ _;;,, ~ -~ c <ll .S? Q. 0. <( I 0 Cl) Cl) (!)• Cl) Cl) <( I 3: 0 ~ >- (I) (.) C: <ll C: u: 0 0 Q) a. Cl) Cl " f. .. • '· TYPE : BUILDING ; OUNDATION ' ' ; EINFORCED STEEL ; .ASONRY '' ' UNITE OR GROUT I F R M _G _s s t= E UB FRAMED FLOOR d CEl~ING HEATHING D ROOF D SH~AR RAME ' XTERIOR LA TH : ~_SULATION NTERIOR LATH & DRYWALL .. ' PLUMBING D SEWER AND BUCO D Pt;JCO NDERGROUND D WASTE D WATER OP OUT (J WASTE D \,\'ATER UB AND SHOWER PAN I ' AS TEST ' ' _U _T _T G_ D filNATER HEATER D SOLARW~TER .., ' ELECTRICAL ' lo!, ' D ELECTRIC UNDERGROUND o:uFFER ROUGH E_LECTRIC ' I D ELECTRIC SERVICE D TEMPdRARY q 80.NDl~G D POOL ' I ' MECHANICAL ' -' D DUCT ~ PLEM., p REF. PIPl~G HEAT-AIR COND. SYSTEMS ' ' VENTILATING SYSTEMS I ' ' ' I DATE INSPECTOR .. '. CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE . ITEMS ABOVE HA VE BEEN APPROVED. FINAL ' ' ' -I ' PLUMBING ' ,I ,/ adv I ~v'/ ' V1,1~ ELECTRICAL ' , I ' ' -\' ./ MECHANICAL : GAS ' / BUILDING ; / I I ... SPECIAL CONDITIONS I I ' . ~ pyr,511~ ';g . ' ' - FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -,. ' ., ., INSPECTION RE;Q. IF INSPECTOR'S DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP .. STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING . -HIGH STRENGTH ~Mtrou~1fta t,.roci:;,em,! n~,,; · BOLTS ~ SPECIAL MASONRY Cft:A t.'llt ~~lii'~lrc:i{t-;.;~·~ ~! i "': ! . ' • ),''\ 1-.. r' ' -..• - PILES CAISSONS >t--, t "J.t-. 'd t( .f:!'"'r, · 1..,.4 }. • .,. ,;, j_,,. ~ ! Ji- ~ . i .. ' . ' -, -· -.. , .A ' I I .. .. -' I r ~ ·, 1 . . '' ' .. .. .. • - • I I