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HomeMy WebLinkAbout2645 OBELISCO PL; MULTI-PERMIT FILE; CB142514; PermitCity of Carlsbad - 1635 Faraday Ay Carlsbad, CA 92008 Plumb! ng/Mechanical/Electrical (PME) Permit 09-26-2014 Permit No: CB142514. Building Inspection Request Line (7,60) 602-2725i Job Address: 2645 OBELISCO PL CEAD Permit Type: PME Status:' ISSUED Parcel No:- . .2154400100 0 Applied: 09/26/2014 'Lot.k. Entered By: LSM Reference'#: Plan Approved: 09/26/2014 PC. #: Issued: 09/26/2014 Inspect Area. Project Title: ROSENAUR RES= WHOLE HOUSE PEX REPIPE Applicant: Owner: INTEGRITY REPIPE INC ROSENAUR DAVID LIVING 1990 TRUST 8337 WINTER GARDENS BL 462 LAKE ESTATES DR LAKESIDE CA 92040 MEADOW VISTA CA 95722 877-473-7473 Plumbing'Fees $160.00 Electrical Fees $0.00 Mechanical Fees $0.00 Other PME Fees $0.00 TOTAL PERMIT FEES $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: $0.00 FINAL AP"00VAL Inspector: Date: Clearance: NOTICE: Please take NOTICE that appro - val of your project includes the "Imp4ition- of fees, dedications, reservations, or other exactions hereafter collectively referred to as "feestexactions." 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 Managerfor processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedu re 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 thisproject. NOR DOES IT APPLY to any fees/exactions of which you have previously been ciiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. 4, FHE FOLL ING ~~P_RO'VALS REQUIRED PRIOR TO PERMITISSUANCC [:1PILANNING LEN'GINEERING-. .,MBUILDING [::]FIRE E3HEALTH, OHAZM T1 P D Plafi'Check No... Building'Permit Applicatioh City 0 '1635 Far6 CA 92 Clay Ave~, Carlsbad, 009, Itst. Value Ph: .~,760-602-27119, Fax: 760-602-85.58 -nail: buildin , g@carlsbadca:gov Plan.M. Deposit Cc ~~ad ei VVVVW.caTIsbadca.gov. Date ImPPIR JOB ADDRESS Z006~ SUITE#/SPA,CE#/UNIT# JAPN 7 P 0- bEL6~'CO - PL ('ArUxli~ , h, CT/PROJECT'# — ILOT# PFlAstsf .,. #OFUNITS , J#BEDROOMS #,BATHROOMS I TENANT BUSINESS NAME OCC. GROUP T DESCRIPTION OF WORK: Include Square Feet of Affected Areals) PEX RF_ q EXISTING USE PROPOSED USE JqARAGE (SF),- PATIOS (SF): DECfM9F) '1FIREPLACE AIR CONDITIONING FIRE SPRINKLER YES NO 'YES[—] NOD IYESD. NO[:] APPLICANT NAM E P PERTY,9WrR F Y? OF Ale Primary Contact r1r, 1A ADDRESS I — ADDR SS CITY t Lill CITY STATE ZIP 7, 90 PHONE PHONE FAX q" -31/0 00 EMAIL EMAIL. Cam DESIGN PROFES&IOWAL CONTRACTOR BUS NAME ~_ r—wo ~DDRESS ADDRESS, CITY STATE -ZIP CITY TI ZIP., PHONE FAX H 01 I P 1. N'67 7-~q EMAIL EMAIL /yi LIC. V STATE LIC PAYS CITY BUS. LIC.# ........... (Sec. 7031.5 Busin6ss and Professions Code: Any City or County which require a e I n a Ite r demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed state I ment that he is licensed pursue s 'm t to Cc st'uct, C ''mp'ov~ License Law (Chapter 9, commending with Section 7000 of Division 3 of the nt to the pro", s 'on s oft e - ntr.ct r s Business and Professions Code or that he is exempt therefrom, and the basis for the alleged .empt.q. Any,,,.I.t..n of Section 7031.5 by any applicant for a permit subjects the applicant to a f I civil penalty of not more than ve hundred dollars ($500)). Workers' Compensation Declaration: I hereby affirm under penalty ofpeduty one of the fol)owmo declarationi: Aaveandwill Taintaiii icertificateofcainseritto' self-in s*ure for workers compensationasprovded bySecfion 3700ofthe Labor Code, for the performance of the work for which this permit is issued. lhaveandwill maintain workers' compeription, asrequired bySecbon3700ofth6 Labor Code, for the performance of the work for which this permit is iss6ed. Myworkers',rompensatiopin and policy number are: Insurance Co. 66yrd -Expiration Date This section need not, be completed it the permit is for one hundred dollars ($100) Or less., CertificateofExemption: I certify that in the performance of the work for which this permit is issued, I shall notern, ploy any person in any manner so as to become . subject to the Workers' Compensation Laws, of California. WARNING: Failure to secure w"ers'compensiltion coverl4is unlawful, and shall subject an employer to criminal penalties and civil lines up to one hundred thousand dollars (&1100,000), in. addition to the cost of compensation, da s ovid o in Se 37 the L aby tomey'i fees. ode, ~kerest and al. CONTRACTOR SIGNATURE DATE'.' GENT 44 ~~p,;4fl 12ffii~k, r,- C~, C, v o I hereby affirm that I am exempt from Contractor's License Law for the to wing reason: 110 El 1, as owner of the property or my employees with ~vageis as their sole 6ompensation, will do the 6rk'and,the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The.Cont6ctor'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 I own employees, provide d that such improvements are not intended or offered for sale..If, howev6r, the building or improvement is sold within one year of completion,'the owner-builder will have the burden of proving that he did not buil v .J.- d or impro e for the purpose of sale). F-1 1, as oWner of the property, am exclusively contracting with licensed,contractors to construct the project (Sec. 7044, Business and Professions Code: The Contra6tor's License Law does not apply to an owne(of' property who builds or improves thereon, and contracts for such projects with oontric6l[s) licensed pursuant.to the Gontraictor's, License Law). I am exempt un.*Section Business and Professions Ciodejor this reason: 1 persbn6 fly plan to provide the major labor and materials for construction of the proposed property improvement., [3yes [:]No :1 ~ (have / have not) signed an application for a biii1ding permit for the proposed work. have contracted with the following person (firrn) to provide. the proposed constructon'(i6clude'nar~e'address /phone /61ractbrs' license number): 1 plan to pmv!de portions of the work, but I have hired the following person to coordinate, 9upervis'e and,provide the major work (ir~clude name / address phone contractors' license number); 1 will provide some of the work, but I have contracted (hired) the following pirsons to'o'rovide the work indicated, (include name address phone type of work): kPIROPERTY OWNER SIGNATURE DAGENT DATE 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 Hazardous Substance Account Act9 Yes, No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No Is the facility to be ccnstructed within 1,000 feet of the outer boundary of a school site? Yes . No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work this pennit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lenders Address I oer*that I have read the application and state Ittatthe above Information is correctand thatthe information on the plans is accurate. I agreetD complywit1h all City ordinances and Stare laws relating to building construction. I hereby authorize representative of the City 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, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHX- An OSHA permit is required for excavations over 5V deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void 9 the building or work authorized by such permit is not oommenoed Wthin 180 days from the date of such permit or if thes - lilding or work auth rized b ch perm . it is sus7nded or'abandoned at any fime after the work is commenced for a period of 180 days (Section 106AA Uniform Building Code). DATE C, A5APPLICANT'S SIGNATURE - a 1".0 PA 0 7y 1 A'. STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CERTIFICATE OF OCCUPANCY (Commercial Projects Only) Fax (760) 602-8560, Email building(akallsbadCa40V or Mail the completed form to'City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. #: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP a C rlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPnONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CIB MAIL TO: CONTACT (Listed above) 'OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) NOPHANGE IN USE NO CONSTRUCTION MAIL FAX TO OTHER: CHANGE OF USE NO CONSTRUCTION NT'S SIGNATURE DATE d 'Cit of Carlsba 4. 'y A 10/14/1969 Plumbing Permit' Permit No:CB993465 Building Inspection Request Line, (760) 438-3101 '2645 OBELISCO PLCBAD Job Address: Permit Typ6: PLUM - Status: ISSUED Parcel No- 2154400100 Lot 0.- Applied: 09/20/1999 Cbnsiruction Typ,e: NEW Entered By: JM ~ef6rence #: - CB981846 Plan Approved: 09/30/1999 Issued: 10/14/1999 Project Title: ADD BOOSTER PUMP & B FLOW Inspect Area: GAS & ELEC LINE TO FIRE PIT &BBQ_`1 Owner: ..e, Applicant: T I . e' NATZLINGER CONSTRUCTIO14 Oi7'T—RUST 09-23-95 1~)LS_ , , ~<' M BA 201 472 EST AR RD 79, Q-r H 7/1 RELLA DE, L 4405 MANCHESTER AV' RLS AD 5067 10/14/99 00()l 0,1- 02 C~ -PRMT .82-00 DEL MAR CA 92024 92 C 619-756-2465 :4 Total Fees: $82.00. A-Total Payments ~o4rat-eXk-~ so.od\A~!/baiance Due: -$82.00 $20.00 Plumbing.Issue Fee ~~t Fixture or Trap 10 $0.00 Building Sewer. .-I"Zo.00 Roof Drain 0.00 Install/Repair Water Line $7.00 Water Heater and/or Vent' 0, $0.00 O'INCORPORATED Gas Piping System -$0.00 Vacuum Breaker 0 $0.00; Other Plumbing Fees-, $55.00 Master Drainage Fee $0.00, V_ Sewer Fee $0.00.~,~ v F ~OTAL PERMIY 'EES $82.06:~ -1, k J~ i,-Z FINALAPPROVAL A In9pect6r:'. 6ate: Clearance: e. 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 diys from the date this permitAias issued to protest imposifion 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/uactions DOES NOT APPLY to water and sewer connection fees and cap~ctiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project i NOR DOES IT APPLY to any fpp,;/P)c;ir.tinn,znfwKir.hvniih;ivpnrpvinijqlvhppnnivpn;iNnTir.F-iryfli;irtnthi'q nr:;q tnwhirh thp -tntiitk-nffimitafi()nq hnq nrPViniMv nth -CITY OF CARLSBAD 2075 Las Palmas Di., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY ,PERMIT APPLICATION PLAN CHECK NO. EST. VAL. CITY OF CARLSBAD BUILDING DEPARTMENT Plan Ck. Deposit 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Validated By Date -4 itdT:INFdftMATibW., Address (include Bldg/Suite #) Business Name (at this address) Lega ascription Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units 1~1:51V 00/00 Assegsor's Parcel # Existing Use Use—f Description of Work. SQ. FT. 1 Stories rs nT§ # of Bathrooms `z CONTAq1.,'.PEi;t!§ 6;~641_" "o I ~ - -1 .~!appjlcant ON V. QC12 61f, W05 OW,,~I, tej Z 40 bA 2-01 'Name Address - City State/Zip Telephone # Fax # LICANT APP 57b: r., Owner,=L -N 12,F I JMMQUA4 aW4 Iri DE - ~Q Name City Address State/Zip Telephone # ~,4. PRqPERTY,. wNig ;L2~7 % py- L3 4':7 or. 0 1A )) CW~ 7/7 C—s196LLA ag-te !!~',42L co 20 Name Address City S.tate/Zip Telephone # 7" - T TO (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 I 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). -29 . KT-*2_/,u/~_-t2 Name Address City State/Zip Telephone # StateLicense# qZ757V License Class City Business License # Designer Name Address City State/Zip Telephone State License # Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: C] 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. 'C] I have and will maintain workers' compensation, a's required by Section 3700 of'the Labor Code, for the performa;ce of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company r Policy No.' Expiration Date ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS*[$1001 OR LESS) [D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for whi6 this permit is issued, I ~hall not emploj 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 attomey's fees. SIGNATURE DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: .1, as owner of the property or my employees with wages as their sole cc'mpensation, will do the work an d the structure is not intended o I r 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. It, 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 o.r improve for the purpose of sale). I C] 1, 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) licensed pursuant to the Contractor's License Law). C3 I am exempt under Section Business and Professions Code for this reason: I . I pers6ally plan to pro vide the major labor and materials for construction of the proposed p roperty improvement. 0 YES C]NO 1 (have / have not) signed an application for a building permit for the prop~csed work. 1 have contracted.with the following person (firm) to provide the proposed construction (include name address / phone number contractors license number): 1 plan to provide portions of the work, but I have hired the f 9 Ilowing person to coordinate, supervise and provide the major work (include name address / phone number / contractors license number): 1 will provide 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 OWNER SIGNATURE DATE 0 .77AL; BU Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials regist ration form or risk man.agement and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? , 0 YES 0 NO .Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? [:3 YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? [-] YES 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLiCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. TRUCTIONIENDIN I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 77 .. !r_ ~V '" , ---- ---"! - ~.-j '707- 52. I certify that I have read the application and state that the above information is co I rrect and 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 CitV 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, 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 construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the build . ing or work authorized by such permit 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE t WHITE: File YELLOW: Apolicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 1/28/2000 L (L Permit# CB993465 Inspector Assignment: - RB Title: ADD BOOSTER PUMP & B FLOW Description: GAS & ELEC LINE TO FIRE PIT & BBQ Type: PLUM Sub Type: Phone: 7609311211 Job Address: 2645 OBELISCO PIL Suite: Lot 0 r: Location: Inspecto L3 APPLICANT NATZLINGER CONSTRUCTION Owner: WILSON TRUST 09-23-95 , Remarks: Total Time: Requested By: GRANT' Entered By:'CHRISTINE CD Description Act Comments 22 SewerfWater Service Sao 3; A0 L4 pw, e Associated PCRs Inspection Histo!)~ Date Description Act Insp Comments 1/19/2000 21 Underground/Under Floor AP RB COMPLETED 1/19/2000 23 GasfTest/Re pairs AP RB 12/23/1999 23 Gas,frest/Repairs PA 'RB SEE PLN AS MARKED 12/2/1999. 21 Underground/Under Floor PA* RB GAS LINE - SEE JOB PLANS 12/2/1999 23 Gas/Test/Repairs 4% PA RB GAS LINE - SEE JOB PLNS L ~--PREFERRED- CONSTRUCTION INSPECTIONS, INC. 4888 RONSON CdURT"G" .** =~-_3 SAN'.'DIEGO, CA 92111 TELEPHONE (858) 576-9110 FOR WEEK 758 NO. ENDING X7_13 1?19 CERTIFIED INSPECTOR'S WEEKLY REPORT F A 23 1 COVERING WORK PERFORMED WHICH. REQUIRED APPROVAL By THE SPECIAL INSPECTOR OF REINFORCED CONCRETE El STRUCT. STEEL ASSEMBLY El SPRAY-APPLIED FIREPROOFING PRE-STRESSED CONCRETE C3 REINFORCED GYPSUM C3 OTHER Vr REINFORCED MASONRY DEEP FOUNDATION JOB ADDRESS 5 C0 ;71,5Z7 0e 4 1,5- G%ek_5-6,40 BUILDING PERMIT NUMBER CA;~?19 S -5 35' PLAN FILE NUMBER ER OR PROJECT NAME ARCHITECT CONSTR. MAT'L. (TYPE. GRADE. ETC.) DESIGN STRENGTH OF MFGFL ENGINEER DESCAPE MAT-L (MIX DESIGN. RE-BAR GRADE MFGR.. WELD-ROD, ETC.) GENERAL CONTRACTOR -75/04) CONTR. DOING REPORTED WORK LAS. RECEIVING & TESTING CONSTR. MATL. SAMPLES INSPEC' TION DATE ARRIVAL TIME: DEPARTURE TIME DETAILED REPORTOF LOCATION OF WORK INSPECTED. TEST SAMPLES,TAKEN. WORK REJECTED, JOB PROBLEMS PROGRESS, REMARKS. ETC. WORK ' W.U.101% kFOWATM ABOUT-AMOLWIS OF IdAnIll" KAUD OR WOFX PEI**AME&.WAMFL TYK &;6Ewr. ws. OFTEST SAWIASTAKEW. STPAJCT. INSPECTED CCMECTUSO (WELDS MADE. KT. BMTS TOROUED) OIEOMO; ETC. -Z -:4 14 74Z' 74~11 '54/ ./,r 7-0'o' -I IOvq t,(Jv 4o)e,Z1 -/V ~A 0 c7 - 777- INSPECTOR (mm cA rim !!57,4 "C SIGNATURE 10-44Z I DATE SIGNED/Z ?Z CIERTIFK!;6_NO. 14d'9 OWMAUMPW7=REPONMWATUMCBMBYFMAYCF"dVWIXPOLLOWMTWMMTM"M& CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise noted, substantially complies with approved planF specifications and applicable sections of the building codes. This report covers the locations of the work inspected only and does not constitute engineering opin- ion or project control. PREFEVITIr M-CONSTRUCTION INSPECTIONS, INC. _C_0_U_R'_ T SAN DIEGO,zCA 92111 TELEPHONE (619) 676-9110 CERTIFIED INSPECTOR'S WEEKLY REPORT FOR WEEK JOB NO. ENDING -279q IJAM COVERING WORK PERFORMED WHICH REQUIRED APPROVAL BY THE SPECIAL INSPECTOR OF 0 REINFORCED CONCRETE 0 STRUCT. STEEL ASSEMBLY El SPRAY-APPLIED FIREPROOFING RE-STRESSED CONCRETE 0 REINFORCED GYPSUM 0 OTHER VREINFORCED MASONRY El DEEP FOUNDATION JOB ADDRESS 11ag J~Jdzz/ma Z_-Z-'g&z BUILDING PER11yT IrUER I s/ FILE NUMBER OWNER OR PROJECI NAME in -4k~zlLf ARCHITE A Z& &/, ~) (D CONSTR. MAT%. (TYPE. GRADE. ETC.) DESIGN I STRENGTH I SOURCE OF MFGR. ENGINEER DESCRIBE MATt (MIX DESIGN. RE-BAR GRADE & MFGR., WELD- ROD. ETC.) GENERAL CONTRACTOR SUZ if-I ZA-6/t CONTT ' ,rPOR DWORK -J- MA /w/2 - f "4;, - LAB. TESTING COUST9. MATL. SAMPLES RE73) INSPEC- TION ARRIVAL. TIME V4RTURE; TfAE - DETAILED REPORTOF". LOCATION OF WORK INSPECTED. TEST SAMPLES TAKEN. WORK REJECTED. JOB PROSUMS.PROGRESS,'REMARKS. ETC. WORK - - ~ W.LUOU NFORMATICINI AWff-,AM0UNrS Of MATERIAL PLWAD OR WORK PEff*RM1&. NUMDEK rt'PE A WENT. WYO. OF TEST SAMPLES TAKW. STRUCT. INSPECTED CCINNECTIGNIII (WELDS MAN, KT. IMXTS TOR*AD) CNEWD: M. q . ~ . I'/-- ~ a&IA As '-7-/,f //-z Jgzl' T_ ,/1'L4hA INSPECTOR (PwTcRnvQ SIGNATURE - DATE SIGNED// 1,5'1 ffCERTIFICATE i6/ MMAUMPWnMWOMMLOTUMCMMOVFMMYOFnCVMIXFOLLOWMTWMMTM;;Tft CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise noted, substantially complies with approved plans specifications and applicable sections of the building codes. This report covers the locations of the work inspected only and does not constitute engineering opin- ion or project control. PREFEkR,Eb.'-'.CONSTRUCTION,INSPECTIONS, INC* (619) 576-9110" 48'88 Ron , so I n Court.11G11 Fax (619) 576-7028 San~Diego, Ca.. 92111 -------------- ------------------- I ------------- --------------------------- INSPECTIONREPORT, JOB NO.: 2739 ----------------------------------------------------------------------------- WORK PERFORMED: REBAR INSPECTION ----------------------------------- 7 -------------------------------- 7 --------- - JOB ADDRESS: 7149 OBELISCO CIRCLE PERMIT NO CB993535 PLAN FILE NO.: JOB NAME: MADSEN RESIDENCE ARCHITECT: MARK RADFORD DESCRIBE MATERIAL:- ENGINEER: GENERAL CONTRACTOR: R.E. HUGHES CONTRACTOR: BOB STUCKEY CONSTRUCTION ---------------------------- 7 ---------------------------------------------- ........Observed the ...installation Qf~reinforcing for.basement~foot.ings...., nd-~.pad "stee. .-,is,.-mi where .'f6oting'-steps up at'. 'Pad-.footihg,..a Assing, site wall reinforcing needs to dowel out for future footing and ..extra bar'needs 'to. be-,..addqd,.,.at corners and openings.—Work.obs'erved was in accordance with the approved plans and specifications except as noted. Arrived on jobsite at 11:00.-AM, left at 12:00-PM.- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ----- - - - --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - INS P-]qC TOM WOODS TOR: CERT- NO.: 0864884-89 DXT-]~~ 1-1/ ,PREFERRED'~CONi~RUCTIb 'k* ON. INSPECTIONS,- INC SAN DIEGO,. CA 92111 TECEPHON E (458) 576-9110 WE -IFORNEEK Z LCERT . IFIED INSPEC I Ti . OR'S WEEKLY REPORT 17~i~ o 1~26_D_3 E . NO NG A19 COVERING WORK PERFORMED WHICH REQUJIRED APPROVAL BY THE SPECIAL INSPECTOR OF 0 REINFORCED CONCRETE C3 STRUCT. STEEL ASSEMBLY El SPRAY-APPLIED FIREPROOFING PRE-STRESSED CONCRETE C1 REINFORCED GYPSUM C3 OTHER REINFORCED MASONRY 0 DEEP FOUNDATION JOB ADDRESS 7Z-52~? 6;wz 5-~qz-q BUILDING PERMIT NUMBER PLAN FILE NUMBER OWNERO PRO ECTNAME ARCHITECT CONSTR. MATt. (TYPE, GRADE. ETC.) DESIGN TH STRENG SOURCE OF MFGR. ENGINEER xe- DESCRI8 T-L (MIX DESIGN. RE-BAR.GRADE A MFGR.. WELD-ROD. ETC.) e GENE NT COW57x;rac rlz)AI CONITFL DOING REPORTED WORK .5ra ("'fleo V '0V"0L$'0 LAB. RECEIVING & IESTING CONSTR. MATL. SAMPEES INSPEC. TION DATE ARRIVAL . TIME. DEPARTURE TIME DETAILED REPORT OF LOCATION OF WORK INSPECTED, TEST SAMPLES TAKEN. WORK REJECTED. JOB PROBLEMS. PROGRESS. REMARKS. ETC. WORK INCWDES INFORMATICH ABOUT--AMOLKI'll OF MATERIAL PLACED OR W(M PERFOWED. I&ASER, TYPE & WENT. N&S. Of TEST SAMPLES TAKEPt. STRUCT. INSPECTED CCNNECTICNS (WELDS MAN. H.T. BOLTS TORCLIED) CHECKED: ErC. _4 1 e-3 lzlq 7VO oz 0, e- I '-Z CJ oo/X "Ic., ":::51 y 1- -.1167 "0 /"C z ':e:~ -j C-e 4 eZ_.eA'11 ,42r~0 aa,' zZ _50~E~ - 3;'-,2 INSPECTOR ipmff oR T"No SIGNATURE ool DATE SIGNEDIZ- I .9/F cERTIFr-ATE-No. ACZ0 7117-'a'a en -'q NM ALL NSPW RIPWTS MLIST" RECOMED Illy Fftfty CP THE WEEK PCLL~ THE MMTM DATM CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise noted, substantially complies with approved planF! specifications and applicable sections of the building codes. This report covers the locations of the work inspected only and does not constitute engineering opin.. ion or project control. EF - klD CONSTRUCTION INSPECTIONS, INC. 4888 RONSON COURT "G" SAN DIEGO,. CA92111 TELEPHONE (858) 576-9110 FOR EEK JOB NO. ENDIWNG Y CERTIFIED INSPE&OR'S WEEKLY REPORT ;Z,2 _372 1 COVERING WORK PERFORMED WHICH REQUIRED APPROVAL By THE SPECIAL INSPECTOR OF 0 REINFORCED CONCRETE STRUCT. STEEL ASSEMBLY El SPRAY-APPLIED FIREPROOFING E] RE-STRESSED CONCRETE C1 REINFORCED GYPSUM OTHER VREINFORCED MASONRY D DEEP FOUNDATION JOB ADDRESS /L/Y d2z_ - MYER BUILDING R;rU 10, /_~, y ~ - .1 J 1 PLAN FILE NUMBER OWNER OR PROJECT NAME ARCHITECT CONSTR. MAT'L. (TYPE. GRADE.ETC.). DESIGN STRENGTH SOURCE OF MFGR. ENGINEER DESCRIBE MAT'L (MIX DESIGN. RE-BAR GRADE MFGR., WELD-ROD. ETC.) GENERAOCONTR WOR ILI CONTR.401 REPORTE, ORK LAS. REC WING & TESTING CONSTRk 7LES INSPEC- . TION ARRIVAL TIME: DEPARTURE j,]~M E DETAILED PLES TAKEN; WQRK.REJECTED;,JO8.PROBLEMS. PROGRESS, REMAP REPORT-OF LOCATION OF WORWINSPE&E D.. TEST i~M kS ETC. WORK`.~-'- .*.MLUM INFOFIMATICN ASOUT~AMOLWTS OFM . ATEALAL PLACED OR WOWREWPF~AEO; NUMBER TYPE OENT: NOS. OF TEST SAMPLES TAKEN; STRUCT. INSPECTED C0NNECTK*4 (WELDS MADE'. M.T. BMTS TOROVEO) CHECKED: ETC. / K,11,1 )Z~ -A .T. Z/Z)/ L11 Le Z~n&Z-/z LtA-) Ag~Lz~~Azz J-7ZIN,/I I Z, /Z Ll LLIJ2,41_711~12,Ll JAIZV_LIJL6~71~ ~_ID- A,) /I Z, in.. L1. A I . Ly f1`7 Zd ZAa Z/ YAII _111~)A/ ~_z INSPECTOR imNT oR Tym— SIGNATURE DATE sr.NED CERTIF/ ' IE N~O// ICAT~ POM ALL NSPWTM RVIOM WAT BE FMCIMED BY FROAVICIF VNISK FOLLMM THE MWECTICIN DATES. CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise noted, substantially complies with approved planF specifications and applicable sections of the building codes. This report covers the locations of the work inspected only and does not constitute engineering opin. ion or project control. A,AEFJ~~ED CONSTRUCTION INSPECTIONS, INC. i'7~88i'~ONSON COURT "G" .SAN DIEGO,, CA 92111 TELEPHONE (858) 576-9110 .1 FOR WEEK JOB NO. ENDING CERTIFIED INSPECTOR'S WEEKLY REPORT COVERING WORK PERFORMED WHICH REQUIRED APPROVAL By THE SPECIAL INSPECTOR OF El REINFORCED CONCRETE STRUCT. STEEL ASSEMBLY El SPRAY-APPLIED FIREPROOFING El PRE-STRESSED CONCRETE REINFORCED GYPSUM El OTHER AREINFORCED MASONRY DEEP FOUNDATION J08 ADDRESS ,7/.5;~ BUILDING PERMIT NUMBER SY F PLAN FILE NUMBER OWNER OR , PROJECT NAMY /)"/4a a"'Ye't., Ae s. I ARCHITECT CONSTR. MATI. (TYPE. GRADE. ETC.) DESIGN STRU413TH SOURCE OF MFGR. ENGINEER DESCR 7ET'L (MIX DESIGN. RE- BAR GRADE 6 MFGR.. WELD- ROD. ETC.) C GENERAL CONTfIACTOR. es- 6C-z4_5- CONTR. DOI XEPORTED WORK . fRECEIVING TE,%TING CONSTR. MArL. SAMPLEY. INSPEC- JION DATE ARRIVAL -TIME - -': DE4ATURE, TIME _DETAJLEO REPORTOF .":".'LOCATION OFWORK11NSPECTED, TEST SAMPLES TAKEN. WORK.REJECTED. JOB PROBLEMS; PROGRESSz REMARKS. ETC.: WORK _V_~ 611CLUDES INFORMAMONABOVT-AMOLUTS OF MATEAIAL PLACED OR WORK PERFORMED'. NLXABEKTYPE & IDENT. NO'S. OF TEST SAMPLES TAKEM. STRUCT. INSPECTED CCNNECTICA4(wELDsuADe, H.T. amTsToRavml CHECKED: ETC. C el Z) f 0 - Q01 C 00"-;0'4 1000, 1001 7-'o ZA.-A all r,-",xa ,..1 0 X . s-Za,141 ef;,- e Is q 7/ 15, zz "I 0 le y 6 7,e' e z~~.k 46 es &I < e gel- INSPECTOR (pow OR Twn O&C dE2 _r_1 siaNATuRE— 4 A2~ e-4Z__ DATE SIGNED/Z- 115' 17,9 CERTIFICA"TENO.Z-C,&0 NM AU MMPWrM RIPMM MWTW F*C119%W BY FRIDAY OF DO MIEEK POLLOWM THE DISPECTICA! DAM CERTIFICATION OF COMPLIANCE: To the best of our knowledge, all of the reported work, unless otherwise noted, substantially complies with approved planF- specifications and applicable sections of the building codes. This report covers the locations of the work inspected only and does not constitute engineering opin. ion or project control. EsGil -Corporation In Partnership with Government.for Bui(din g afe ty DATE: 9/28/99 El APPLICANT <ZLI~R I ~S JURISDICTION: Carlsbad Q PLAN REVIEWER ~Q FILE PLAN CHECK NO.: 99-3465, SET: I P ROJ ECT- ADDRESS: 2645 O~elisco PI PROJECT NAME: Backflow Preventer & Booster Pump -The plans transmitted herewith have-been corrected where neces sary and substantially comply with the jurisdiction's building codes. F] The' plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies ildentifi edbelow are resol ved and chec . ked by. building -department staff. The plans transmitted herewith have. significant deficiencies identified on the enclosed check list and should be corrected and resubmitted, for a complete ~echeck. F-1 The check list transmitt6d herewith is for y6ur information. The plans are being held at Esgil Corporation until corrected, plans are subm.ifted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to forWard to the applicant contact,person. The applicant's copy of the check list has been sent to:, Esgil Corporation staff did not .'advise t . he applicant that the plan check has been completed. Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone #: - Date contacted: (by:' Fax #: Mail Telephone Fax In Person REMARKS: By: Chuck Mendenhall Enclosures: Esgil Corporation F1 GA E) MB E] EJ F1 Pc. 9/21/99 trnsmO.dot 9320 Chesapeake Drive, Suite 208 San Diego, California 92123 (858) 560-1468 Fax (858) 560-1576 VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK NO.: 99-3465 PREPARED BY: CM DATE: 9/28/99.. BUILDING ADDRESS: 2645 ObeliscoPI BUILDING OCCUPANCY: NA TYPE OF CONSTRUCTION:. BUILDING PORTION BUILDING AREA,..,.-. (ft. 2) VALUATION MULTIPLIER ESGIL FEE Booster Pump NA Hrly 87.15 X 1/2 $43.57 - Air Conditioning Fire Sprinklers ESGIL FEE $43.57 199 UBC Building Permit Fee Bldg. Permit Fee by ordinance: $ 199 UBC Plan Check Fee Plan Check Fee by ordinance: $ Type of Review: Complete Review Ej Structural Only Hourly Repetitive Fee Applicable,, Other:' Esgil Plan Review Fee:, 43.57 Comments: Sheet 1 of 1 macvalue.doc 5196 % B U I L.'D. 1, N G P E_R M I, T Permi t No:.CB983229 09/24/98 -16'-01 Pr6'3'6ct No: A9802448 Page' 1 of 1*,. 6ev'elobment No':- , Job~Address: ?645 OBELISCO PL Su'ite':'., Permit Type: ELECTRICAL Par6el No:''215-440-01-00 Lot#: .Valuation~: 0. C6nstru6tion-Type:,NEW _Occupa~,cy Group: ~`Ref 6renc-6#: CB981,846 ';,Status:,, ISSUED '94 Description: TEMPORARY POWER*PPLE FOR plied: '0 ~4/98~ A CONSTRUCTION pr/Issue: 09/24/98 mA ''1491 01:'POTA 02 App*d'/6'w"r~r --'D-OMBROSKI'-DAVID.', 619 2'3 1'J3 7 8 6 C-PRMT 20 00 i120 FOURTH-AVENUE, ,,SAN bI`EGd CA,'5'21'011- ;,.I Fees Call cted -&,Credits Fees,Required i** ----------------- ---------- 00,1- Fees: 0 -t~ c .00 Adjustmerits Y-) VAD 0 f 2 -0 me s: Total Fees: ;~otal~*P I bo u u ~20 O~O Fee d 0 S'~:r pt i cin'~ ".",8F 1v ~Ext fee Data X ------- - --------------- Y.1 Enter . Jor Electr t ImizZue'A _n C' f.b. 00, Y Enter Y for' Tempor r' r.. ce 10._00 Y INCORPORATED 1952' ID CD) .4- H 'FIN A -A PPROVAL f, 4 INSP D AT, E; 7 OLEARANCE -r,7771 7, /2 CITY OF CARLSBAD 2075 'Ls F~~as Dr.; Carlsbad'_,`,~A '9'20"09 (619) 438-1161 PERMI.t APPLICATION CITY OF CARLSBAD BUILDIN D MENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 FOR OFFICE USE O~Y PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validatedl3v-. /_ PROJECT INFORMATION C;7 Address finclude.Bldg/Suite Business Name let this address) Legal DescriptioiT Lot No. Subdivision Name/Number Unit No. Phase No. Total 9 of units Assessor's Parcel # Existing Use Proposed Use of-Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms .. . . ...... .. ..... ... I If- diff e't'i-ank, m iii1oicenti Name Address City State/Zip Telephone # Fax # ~:AOOLIdAkt* 0 contractor :-0 Agent for- bon.-ti-raic-iorr A i`- gent% or or. Name Address City State/Zip Telephone # A.: ';': PROPERTY' OWNER Name Address City State/Zip Telephone # -7 7- - - ----- E "COMPANY NAME CONTRACTOR JSec. 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 Low [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel 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 then five hundred dollars [$5001). Name Address City State/Zip Telephone State License # License Class City Business Ucense # Designer Name Address City State/Zip Telephone State License # ... ..... . .. F i :6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 1 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 1 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 1$11001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars J$ 100,0001, In addition to the cost of compensation. damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE DATE 7. OWNik-BUILDER DECLARATIO14: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 1, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure Is notintended or offered for sale ISec. 7044, Business and Professions Code: The Contractor's License Low 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). 1, is owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 7044, Business and Professions . Code: The Contractor's License Low does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 1 am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property Improvement. 0 YES ONO 1 (have / have not) signed an application for a building permit for the proposed work. 1 have contracted with the following person Ifirm) to provide the proposed construction (include name / address / phone number / contractors license number): 1 plan to provide ponions of the work, but I have hired the following person to coordinate, supervise and provide the major work linclude name i address / phone number / contractors license number): 1 will provide some of the work, but I have contracted Ihired) the following persons to provide the work indicated linclude name address phone number /type of work): PROPERTY OWNER SIGNATURE DATE :COM0LiFTtTHIS 1SEdti6k FOR V&-Aftv .T. 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 25 534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? YES 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. .77 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S NAME LENDER'S ADDRESS -z ~r FT - I certify that I 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 building construction. I hereby authorize representatives of the Citt 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, 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 construction of structures over 3 stories'in height. EXPIRATION: Every permit issued by the Bu ng Official under th propyns of this Code shall expire by limitation and become null and void it the building or work authorized by such permit I. not corn r9eled within -369 days "fr. date of such permit or if he building or work authorized by such permit is suspended or abandoned at any time after the wor ~r a er ~0! ~Z 18 d !sysection 106.4.4 Uniform Building Code). Z, 'Ja APPLICANT'S SIGNATURE 4 72./1 7 " .A I DATE . WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD~ INSPECTION REQUEST PERMIT# CB983229, FOR 10/05/98 INSPECTOR AREA RB DESCRIPTION: TEMPORARY POWER POLE FOR PLANCK# CB983229 CONSTRUCTION OCC GRP TYPE: ELEC CONSTR. TYPE NEW JOB ADDRESS: 2645 OBELISCO PL STE:. LOT: APPLICANT: DOMBROSKI DAVID PHONE: 619 231-3186 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: C/GRANT/943-3123 PAGER INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- PERMITj TYPE -STATUS , CB961271 SFD EXPIRED, GR960021 GRADING. ISSUED CB981846 SFD ISSUED CD LVL DESCRIPTION ACT COMMENTS 32 EL Const. Service/Agricultural INSPECTION HISTORY DATE DESCRIPTION -ACT INSP COMMENTS 093098 Const. Service/Agric~ltural ~~CO', RB PROOF PLUGS NEEDED