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Home My WebLink About2714 LOKER AVE W; ; CB012901; PermitTotal Fees: $916.20 Building Permit. AddI Building Permit Fee Plan Check / AddI Plan Check Fee . Plan Check Discount Strong Motion Fee Park Fee • LFM Fee - Bridge Fee • BTD #2 Fee BTD#3Fee Renewal Fee AddI Renewal Fee Other Building Fee Pot. Water Con. Fee .Meter Size AddI Pot. Water Con. Fee Red. Water Con. Fee City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-18-2001 Commercial/Industrial Permit Permit No:.CB012901 Building Inspection Request Line (760) 602-2725 'Job'Address: 2714 LOKER AV WEST CBAD . . Permit Type: TI Sub Type: COMM Parcel No: 2090810200 i. Lot#: 0 Status: ISSUED Valuation: $90,000.00 Construction Type: NEW Applied: 09/07/2001 Occupancy Group: Reference #: . Entered By: JM 'Project Title: INTER REVENUE - TI 3000 SF Plan Approved:. 10/09/2001 Issued: 10/18/2001 Inspect Area: Applicant -*LEIN RICK ; ..- NEWPORT NATIONAL/CORNERSTONE L L C 2458 10/18/01 0002 01 02 .L1PO BOX 930 21i7iNDUSTRlALCT#CN.. COP .:. 58596 P0 WAY CA . . VISTA t0 . . . 619-339-7425 ç3') CA92b83 \\\\ Total PaynientsTo Date: $33024 "N' / . $508.06 MetèrSize / lance D 10) $0.00 1SDCWA Fee $0.0 FD)Payoff5Fee $19 Ai~, t $0.00 FF (CFD Fund). $00O ns'Tax((\ $0.00 icense Tax(CFDcFund) / \$0.0O ffi'c Impat $0.00rrafficimpact (CFD Fund) $d.00 . 'PLUMBING TOTAL / U.UU. lNFttIIrUL/fr\L I L) Ifr%L cc '\ $0.00 MECHANICALJOTAL .. c7 $0.00 Master Drainge Fee 70.097P . Redev Parking Fee ? . ~OTAL PERMIT FEE .96 \ $0.00 \ $0.00 $0.00 I $0.00 $0.00 I $0.00 I $0.00 I $0.00 / $0.00 .1 $0.00 $0.00 $35.00 $24.00 $0.00 $0.00 $0.00 $0.00 $916.20 FINAL APPROVAL . Inspector: i9-to2t Date: 11/1 341 . Clearance: 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 spO'cified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy 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/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. ' - - FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO rCITY OF CARLSBAD BUILDING DEPARTMENT EST VAL L)W 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck Deryi " Validated BvJf'7' / -t Date_______________________________ PROJECtjNFORMATIONj1 MIMI 'D7:l AL/€ . i&TA -.1/EV1I . Address (include Bldg/Suite #) Business Name (at this address) Legal Description .. Lot No. Subdivision Name/Number °4Unif No.- Phase Nor-". Total'# of Lnts '4 9 çf - .•' . Assessor's Parcel # .. Existing Use ' .. . Proposed Use . . . I tL 1'R.a kDescription of Work S SQ. FT. 5 i . 46f Stories Sf. of Bedrooms of Bathrooms - S. •. S H .1 ..- ,. S . SS '- ,*S •, NTAflRSON ret pptitf fName Address ,_____ - City Uax # t3t:rAPPUCANT j Contractor for O.oer F -330.4 .. f' L3'3b FOAV-- LA-- Name . Address -r ,, Ct St Zip : Th 69, 4 PERTYOWNER L_ - r 2-7 1 4 j (i //,s r4 Namer.r.r., .. / Address City State Zip Telephone C - [5 CONTRQIQçOffiYNME - 'is... 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, álso;requires the applicant for such permit to file a signed statementrthat he. is licensed pursuant to the provisions of the Contractor's Licse 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 exèmption.-Any violation of Section7031-:5 by any applicant for a pe,°mit-subjects the applicant to a civil pènaltypf not more thanfivehundrèddollir 1$ 5001). ' Name - . ., . Address. ,. . City- . State/Zip T lephone tate License / '7' (2' '), ( 1 License Class City Business License #)2O3/4'3 (4-q/Ath p-/(t, Sf L'.. . 4/f'czJ Designer Name ' Address State/Zip Telephone p. '-;,,n-(- .......... r . . • .:--, .. -. - . H IState License # - - . Workers Compensation Declaration: I hereby affirm under, pehalty of perjury one of the following declarations:'.- -r 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 - * have and will maintain workers compensation as required by Section 3700 of the Labor Code for the perfo,rmaxce of the work for whicl thisper',it is issued My workers Co p nsatio insurance carrier and icy numr are /5 '( Insurance Company t 7,??e Policy No 2. Eii I Expiration Date cT2F- :7/ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 4 1 1 o 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 so as to become subject to the Workers.Compensation Laws of California - I " WARNING Failure to secure workers co~ tlh nsatlon coverage us unlawful and shall subject an employer to criminal penalties and civil fines up to one hindred i - thousand do!Iàrs($100,0b0 ' addition ocostof co ensation for in Section 3706 of the Labor c de. interest and attorney's fees. SNATURE /y,i - ,OWNER.BUILDER.OECLA TIOft., I herab';faffirm thaf I am èxemptfr'om the Contracto's License Lêv 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 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 mprovernent is sold within one year of completion, the owner-builder will have the burdón of proving that he did not build or improvefor. the purpose.,of sale).. S - S .5 ., --'.c',' — • H - '. . - S . 0 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) licens4ed pursuant to the Contractor s License Law) I 0 • I am exempt under ,Settion -' . Büsin'ëss and PrOf e5515ns Code forth WreaoñC- •' . " • T -: ' -'-- -- - • . .1. '-I personally plan'to provide the major labor and materials for'constructionóf'tM propoed propertVimprdvement. DYEs DNO S S• -........... •I -............r' •-i -', -55 ' - - I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name I address / phone number / contractors license urnber( I plan to provide portions of the work but I have hired the following person to coordinate supervise and provide the major v,rork (include name /laddres /,phone, number / contractors license number) -1 will provide some of the work; but I have contracted (hired) the-followihg persons to provide the rv0rk indicatedliriclude ñam7.àddre' /óhohe rnbê/ type of work): 5 ' S • - -. '--5 - . . .--:- •-'---•-'- -------- S-. - - - PROPERTYSOWNER SIGNATURE DATE 1XV IL . _____- . -- •., * Is--the applicarrt.or. future building occupant .required t'o'suit a business planp acutely hazardous materials iegistratiOn form -or risk -r inagenent and prvention. • . - - 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? 0 YES 0 NO Is the facility to be contructed within 1 000 feet of the outer boundary of a school site? 0 YES 0 NO ' . ,,r, • ,- - 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 5 -rREQUIREMENTS OF THE .oFFICE5OFrEMERGENcYSERyiCEsiAND THE AIR POLLUTIONYCONTRdL'DISTRICT, .-. - - - : - •,• SS - • 5 -, - I hereby affirmthat thêreisa construction len" a-n for 'h p-r'ormanceóf th work 'tr ...zhcfs tbft ermit is issued (Sec. 3u9i I Civil Lodel ' : - o. .. - •• C-. LENDER'S NAME. -. - .. LENDER'S ADDRESS, r - M`R " - 'E., l 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 Citr of Carlsbad to nter upon the above mentioned property for'inspectithrpurpos&s. 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 ..v - OSHA: 4n OSHA permit is required for excavations over,5'O" deep and demolition or Construction Of thuctures4oier3stories inhéight.. EXPIRATION: Every permit issued by the building OffiOial under.the provisions ofthis.Codé shall expire, by- Iimitation,àn becomenuI( and void ifrihebuilding 5or'wrk authorized by such permit is not`6o5mphcd4vithih 180 s from the date of such permit or if the building or work authorized by such permit i suspended or a6and6ned at anytime after the work is co edt ap days (Section 10644 Uniform Building Code) DATE ( a S SIGNATURE - WHITE File YELLOW Applicant PINK Finance City of Carlsbad BI.d.g,inspection Request 0 For: 11/09/2001 Perm it#CB012901 '. Inspector Assignment: RCB Title: INTERREVENUE - TI 3000 SF Description: Type: TI Subrype: COMM Phone: 6195909385 Job Address: 2714 LOKER AV WEST Suite: Lot' '0 Location: Inspector: APPLICANT LEIN RICK V . Owner: NEWPORT NATIONAL/CORNERSTONE L L C •• . - Remarks: • Total Time.... . . . Requested By: G & R , Entered By: CHRISTINE . . CD Description . Act Comments . 19 Final Structural ,' F ,'J4i_- , 29 Final Plumbing j ' . ' ' .• . .. 39 Final Electrical •' . ________________________________________________________ 0 •' .49 . Final Mechanical • . ' .' . Associated 'PdRs . ' • 0 lnsDection History . . . Date Description . ' Act Insp Comments . . 10/31/2001' 44 Rough/Ducts/Dampers If AP ' RC' OK TO INSTALL PANELS IN T-BAR CEILING .10/29/2001 44 Rough/Ducts/Dampers f- CO RC: SEE NOTICE 10/24/2001 14 Frame/Steel/Bolting/Welding CA RC DONE ON 10/19 0 10/24/2001 17 Interior Lath/Drywall ' AP RC OK TO TAPE • 0 0 10/24/2001 44 Rough/Ducts/Dampers , CO RC CHECK SEALS ON DUCTWORK AT REGISTER 10/19/2001 14 Frame/Steel/Bolting/Welding AP RC OK TO INSULATE 0 10/19/2001 34 Rough Electric ' . AP RC • City of CarlshaU 6A/v Final Building Inspection Dept: Building Engineering Planning CMWD 'St,Lite F-iY Plan Chick #: . Date: 11/09/2001 Permit #: . S .. CB012901 PermitType: TI - Project Name: INTER REVENUE-TI 3000SF Sub Type: COMM Address: 2714 LOKER AVWEST Lot: 0 Contact Person G &R Phone 6195909385 / Sewer Dist CA Water Dist CA specte Date // ~~ / J spected / Approved sapproved 'Inspected . Date By: . Inspected: .. .Appried: Disapproved: 'Inspected Date By: Inspected: Approved: bisapproved: Comments: L I', 1 S - C F • I. . - - - ,__ •11 . - EsGil Corpora'tion',I . In Partnership with Government for Building Safety DATE 10/4/01 U A PLICANT JURIS. JURISDICTION: City of Carlsbad . U PLAN REVIEWER El' FILE PLAN CHECK NO:. 012901 SET:. II PROJECT ADDRESS: 2714 Loker Ave West Suite 250 PROJECT: NAME: Integrated Revenue Management-- TI The plans tranrnitted'herewith have been corrected where necessary and substantially comply withthe jurisdiction's building codes.. . . .. El The plans transmitted herewith will substantially comply-With .thëjUrisdiction's building codes .when minor deficiencies identified below are resolved and.chécked by building department' staff. El The plans tran'smitte'd herewith have significant deficiencies identified on the enclosed check list andshould be corrected and resubmitted for a complete recheck. . . . The checklist transmitted herewith is for your information. .The plans are being held at Esgil Corporation until .,correctedplans are submitted for recheck.. . . The applicant's copy ofthe checklist is enclosed for the jurisdiction to forward to the applicant contact person. . . . . . . •. The applicant's copy of the check list has been sent to - Egil Corporation staff did not advise the applicant that the plan check has been completed. El Esgil Corporation staff did advise the applicant that theplan check has -been completed. Person contacted: . Telephone # Date contacted: •. (by ) .- . Fax #: Mail Telephone Fax In Person . •. . . • . Eli REMARKS: •• '. By: Doug Moody -. '. Enclosures: .. .) Esgil Corporation . . . D GA i: MB fl EJ fi PC .9/27/01 . trnsmti dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858) 560-1468 • Fax(858)560-1576 '. - EsGil Corporation I In Partnership with Government for Building Safety DATE 9/20/01 , U APPLICANT I JURISDICTION City of Carlsbad U PLAN REVIEWER U FILE PLANCHECKNO: 01-2901 SET:! PROJECT ADDRESS 2714 Loker Ave West PROJECT NAME Integrated Revenue Management - TI The plans transmitted herewith have been corrected where necesary and substantially comply with the jurisdiction's building codes The plans transmitted herewith will substantially comply wit the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. :Thepinstransrnittéd herwith have significaht deficiencies identified on the enclosed checklist and should be corrected and resubmitted for a complete recheck The check list transmitted herewith is for your information The plans are being held at Esgil Corporation until'correctedplansare sjbñiitted for recheck. The applicant's copy of the check l 11 ist is enclosed for the junsdictionto forward to the pplicant contact person The applicant s copy of the check list has bean sent to Rick Lien P.O. Box 930, Poway, CA •• •' - ••- Esgil Corporation staff did not advise the applicant that the plan check has been complded. * A • Esgil Corporation staff did advise the applicant that the plan check has been completed Person contacted Rick Lien Telephone # 619-339-7425 Date contacted - 2.0-6 (by E*.A..)4 Fax # 858-486-5081 Mail Telephone Fax In Person --7, . REMARKS By-,Doug Moody - Enchsures Esgil Corporation A D GA D MB D EJ D PC 9/11/01 tmsmti dot • • • 4' 4 • - - - • r -- * .'•• • - • -- 9320 Cheapeake Drive Suite 208 • San Diego California 92123 •,(858) 560-1468 • Fax (858) 560 1576 .4 4. -, •,, S . I - F • S • . -. . City. of Carlsbad 01-2901 9/20/01 PLAN REVIEW CORRECTION LIST -. ... ". TENANT IMPROVEMENTS' PLAN CHECK NO.: 01-2901 . '• . . JURISDICTION: City of,Cárlsbad OCCUPANCY B USE Office TYPE OF CONSTRUCTION ,%\(1H ACTUAL AREA 3000 ALLOWABLE FLOOR AREA STORIES - . . HEIGHT SPRINKLERS? YES OCCUPANT LOAD 39 REMARKS: ,, '' : •. 4 . . 'F H.' - - '. ...- . ' .• ,, '4.. -- -••- DATE PLANS PLANS RECEIVED BY DATE PLANS RECEIVED BY-', JURISDICTION: 9/7/01 .. ESGIL CORPORATION:- 9/11/01 DATE INITIAL PLAN REVIEW PLAN REVIEWER Doug Moody COMPLETED: 9/20/01 • •. .' . FOREWORD (PLEASE READ) - . :;.' . ' This plan review is limited to'the technical requirement's contained in the Unifärm Building Code, Uniform Plumbing Code,tUniform Mechanical Code, National Electrical Code and state laws regulating energy conservation, noise attenuation and access for the disabled This plan review is based on regulations enforced by the Building Department You may have other corrections based on laws and ordinances enforced by the Planning Department, Engineering Department, ; Fire Department or-other--dèpartments Clearancefrom-those departments may be#required prior to the issuance of a building permit - S 5 4 5; Code sections cited are based5 on the 1997 UBC.' I . - • -5- . . The following items listed need clarification, modification or change All items must be satisfied before the plans will be in conformance with the cited codes and regulations.-Per Sec 106.4.3; 1997 Uniform Building Code, the approval of the plans Joes not permit the violation of any state, county or city law r * •' -. •5' S •' -, S 55 - to speed up the recheók process please note on this list (or a copy) where-'each correction item has been addressed i.e., plan sheet number, specification section, etc. Be: sure to enclose the marked up-list when you submit the revised plans. - -. - • 4 •'S . •. • 4.. TENANT IMPROVEMENTS WITHOUT SPECIFIC ENERGY DATA OR POLICY SUPPLEMENTS (1997UBC) tiforw.dot 4 'I - .. .5 4 5 ._ 4 '' • •' • • ' . - -• ' - - 1 . . - 'S . City of Carlsbad 0172901 9/20/01 :- Please make all corections on tije original tracings, as requested in the correction: 'list. Submit three sets of plans for commercial/industrial projects (two sets of plans for residential projects). For expeditiou processing, corrected sets dan be submittedin one of two ways: ' - , 1. Deliver all corrected sets of plans and calculations/reports directly to the City of * Carlsbad. Building Department, 1635 Faraday-Ave., Carlsbad, CA 92008, (760)'' 602-2700. The City will route the plans to EsGil Corporation and the Carlsbad • V Planning, Engineering and Fire Departments. • V - ,- 2. ,Bring one corrected set of plans and calculations/reports to EsGil Corporation, 9320 Chesapeake' Drive, Suite 208, San Diego, CA 92123,.(858) 560-1468. * Deliver all remaining sets of plans and calculations/reports directly to the.City of Carlsbad,Building Department for routing to their Planning, Engineering and Fire' V ' - Departments.' 'NOTE: Plans that are submitted directly to EsGil Corporation only willnot be reviewed .by the City Planning, Engineering and Fire Departments until review by EsGil Corporation is complete I 'Each sheet of the plans must be signed by the person responsible for their - • prëparatipn, even though thereare no structural changes. Business and Professions Code. . 'V '' 2. Please note on the plans "AC Cable is not allowed. NM cable is restricted (without City approval) to' One 'and two farñiiy dwellings. NOte on plansthat an' ' • eqüiprnentgróund conductOr is to be installed in all flexible conduits". Per City of 'Carlsbad. 3 Please provide panel schedules, indicate new and existing loads - 4 Please provide electrical load calculations - 5.- Please note or show mechanicalventilation will be provided in allrOoms, capable of supplying outside air, at a minimum rate of 15 cubic feet per minute per V occupant. .U, BC, Sebtion 1202.2.1. VV, V - '• _'1•• To speed'up'the review process, note oh this list (or a copy) where each' • - - correction item has been' addressed, i.e., plan sheet, note or detail humber, , .. calculation page, etc '- •- - ' Please indicate he1é if any changes have been made to the plans that are not a : ' result of corrections from this list. If there are other changes, Please briefly •' describe them and where they are located in the plans. - Hav&chanes been made to theplans not resulting from-this correction list? V • ' Please indicate:' V • - YesU No U - V. ' , V • S , • City of Carlsbad 01-2901 9/20/01 VALUATION AND PLAN CHECK FEE JURISDICTION City of Carlsbad PLAN CHECK NO 01-2901 PREPARED BY Doug Moody DATE 9/20/01 BUILDING ADDRESS 2714 Loker Ave West BUILDING OCCUPANCY B TYPE OF CONSTRUCTION V1H 11 [BUILDING -. PORTION AREA (Sq., Ft) Valuation - Multiplier Reg. Mod VALUE ($) • TI 3000 City Valuation 90,000 Air Conditioning Fire Sprinklers TOTAL VALUE .• 90,000 Jurisdiction Code cb By Ordinance - • I $499.061 1994 UBC Building Permit Fee 'V.] •. Carlsbad Fire Department 012901 1635 Faraday Ave.Fire Prevention Carlsbad, CA 92008 (760) 602-4660 Plan Review Requirements Category BuuldiflgPIaiiD Date of Report 10/15/2001 Reviewed by ( Name: • Rick Lien Address: POBox 930 City, State: Poway CA 92074 Plan Checker Job # 012901 Job Name integrated Revenue Bldg # CB012901 Job Address 2714 Loker Avenue West Ste or Bldg No z Approved The item youhave submitted for review has been approved. The approval is basd on plans, information and / or specifications provided in your submittal; therefore any changes to these items after this date, including field modifications, must be reviewed by this office to insure continued conformance with applicable codes and standards Please review carefully all comments attached as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements U Approved The item you have submitted for review has been approved subject to the Subject to attached conditions The approval is based on plans, information and/or 'specifications provided in your submittal. Please review carefully all comments attached, as failure to comply with instructions in this report can result in suspension of permit to construct or install improvements Please resubmit to this office the necessary plans and / or specifications required to indicate compliance with applicable codes and standards. U Incomplete The item .you have ubmitted'for review is incomplete. At this time, this office cannot adequately conduct a review to determine compliance with the applicable codes and / or standards. Please* review carefully all comments attached. Please resubmit the necessary plans and / or specifications to this office for review and approval Review 1st. 2nd __________ 3rd - Other Agency ID FD Job # 012901 FD File # 11/06/2001 10:26 FAX 619+4647973 9002 4 sent 0y UM rl.9.LO insp. bO Odl u,Iu,uu U.UMIe,JD._t4U,4O City of San Diego It ' I" e' Inspection Services Division _______ -ppIIcaIIan a1 5• Planning and Development Review to Perform 4/ 9601 Ridgehaven Court • Suite 220 MS 1102- - - San Diego, CA 92123 Vff. jf Ph,4rsflnn T.I5 cv s. Information (858) 492-5070• FAX (858) 492-5098 C%. Fabricati on"" UtI4 II JI! (MUST BE FILED ONE BUSINESS DAY PRIOR TO SCHEDULED FABRICATION COMMENCEMENT DATE) DATE, 11/2/01 SCHEDULED FABRICAT ION COMMENCEMENTDATE 11/5101 FABRICATION CO. NAME WFST COAST IRON, INC. TELEPHONE NO( 619) 464-8456 FABRICATION SHOPADORESS 9302_JAMACHA_ ROAD. FAX NO. 1_51Q_) _464-7973 CITY SPRING VALLEY __- STATE CA ZIP CODE 91977 BUILDING PERMIT NOJS CB010425 PLANFILENO çBol-425 (For projects with multiple permit rtumaers but with uie same plan tile number, you may list all permit numbers and Addresses on n separate shoot.) JOBSITEADDPESS r2714'L0KAR _AVENUE _WEST . _CARLSBAIL_CA' DESCRIPTION OF COMPONENTS TO BE FABRICATED STRUCTURAl_STFFI_COt_IIMNS,_ REAMS- AND MISCELLANEOUS STEEL FABRICATOR IS CURRENTLY CERTIFIED BY (refer to BNL 17-6): DIC8O UAISC DACI CJ PC[ fl p11 DOihor CITY OF_L.A._#1524 Certificate No. Expiration Date SPECIAL INSPECTOR ASSIGNED (BY BUILDING OWNER) MTGL Certificate No trio' required fur a Iab:icstor registered and approved by lii, City o Stan Olago, unless otherwise noted on the tpp:bfod pormJltet plans tnd oponflambra.)' FABRICATION DRAWINGS REVIEWED AND ACCEPTED BY DESIGNER OF RECORD? LXI YES 0 NO NOTE: THE FABRICATOR IS REOUtRO TO HAVE FABRICATION DRAWINGS WHICH HAVE BEEN REVIEWED AND ACCEPTED BY THE DESIGNER CF RECORD. SPECIAL INSPECTOR MUST VERIFY SUCH ACCEPTANCE PRIOR TO COMMENCING INSPCtI0N DUTIES. AGREEMENT - We hereby agree to hav contImuous special Inspection. sampling and lasting as specified on the 3pproya# permitted plans and specifications. We v41 further agree that the work will be performed In the manner prescribed by the California Building Code and the Stcridards as amended by The City olSen Diego anti other regulallons. We understand that the property owner of the engineer / architect of record acting as the property owner's qgent is so101y respen3bIe for employment alone or more special Inspectors who shell provide Inspections for fabrication of the components described hereirtWe 'also agree to preside unlimited access to the fabrication areas, te material storage and rnirdng areas, other relalod areas, the approved chop drawIngs and other documents for the purpose of Inspection, sampling and testing by the special Inspactora, crtstructIon materials balIng laboratory or Planning and Oevefopmenl Review pereonnel during normal workIng hours. We further agree to provide an Identifying mark on each fabricated member or component shipped 10 the construciJon site. A certificate at compliance and a 0 shipping liar shell eorompany each shipment and a copy shall be sent to the -FOR OFFICE Inspection Services Division and the architect or engineer of record when the components are chIpped. 0 0 APPROVED 0 • 0 DENIED This agreement is limited to fabrIcation of the components or members described - 'r RESUBMIT above to be used In the srn.rcbiree identified by the permit numbers shown and is A - not uansferrabte to any other fabrication work or, other construction sites COMMENTS: Name (Print) ENRIQIJE_RAYON 0 •0 Title: VICEPRESIOENT 0 Date: 11/2/01 -_•.•0 0 __-: 0 0 My person signing this application at an agent of me fabrication company - - - declares under penalty of perjury to be art authorized agent of record, of the fabrication company having iorl'y execute thL document NAME (Frint) Signature SICNATURE DATE This information is available In alternative formats for persons with disabilities. 0 • To request this information inalternarive format, call (619)-236-7703or(800)735-2929(TT) - DS-313 (3-00) • , •: . 0 - -, cU-( r'(-/,doe,$ ii 4