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HomeMy WebLinkAbout2778 LOKER AVE W; BLDG F; CB881454; Permit~ APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. )· USE BALL POINT PEN ONLY & PRESS HARD· J CARLSBAD BUILDING. DEPARTMENT APPLICATION & PERMIT .. :J) z 0 ~ c( cc ~ 1rl 0 ,i .J a: I[ 0 u O I ·hereby affirm that I am lfcensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my lfcense Is in full ·force and effect. · f' 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619} 438-1161 ? JOB ADDRESS AV, ST.RO, THOMAS BROS NO. DATE OF APPLICATION BUSINESS l.lCENSE # VALUATION t -Z..: ~L · . ., /2/P/f-~ 5 I ()6 }· LOT . ASSESSOR PARCEL NO. CONTRACJ:OR CONTRACTORS PHONE # ZONE I hereby affirm that I am exempt from lhe'Conlrac-I Lus,-9;!:l>I" A--f,::-r ~/ .. , .., _:::> tor's License Law tor lhe following reason (Sec. 7031.5 l . . ~ .,,.;;> c,:;,1'<9-,,,1/9"~-:;;,/,$ Business ana Professions Code· Any city.or county which.re-1 OW_N E:R'S NAME , · OWNER'S PHONE ~---------'----,------------+-==:':' ~====--~----------""""~=====--====,--; quires a_ p~rr(HI lo co~struct, aller, improve, demolish, or • U, f< ?, STATE LICENSE NO. repair any structure, prior to its issuance also requires !heap· H \ -r? UIS O · -' '1:1 ) A ~-L .,, / · ~ S phcant for such·perm,t to fi)e a signed stalement lhal·he IS t -'h" ,,,._, .F ;7/Cf,;v i!"t<:: c,?C:> 7c;;2 '57 3576 12/09/88 Q) t~~:~:: L~~'<'/:ah~pl~~ ~h~o~~~~s~f;J .:\\n'~:cii;%~gr;;i_ . f• OWNER'S MAILING AO~RESS ~ a,::::..:;.c:.!-~=====-=:=::.., ....... ~4::!.._..Ltz;==:::.....~+=====-::-c-:--:-:c-.-..J~-----------;f"77ii!;,,.,:li,--l---,,-~~1'1t:t-tm. jf o,v,s,on 3 of the Business and Profess1ons.Code)·or1hat ,sex• ( ~/~9 <t/1J--M?c.i-s Dl:!f,, Vt::' / /? ",/',/"e er ;14 a ., .., . DESIGNER DESIGNER'S PHONE >, empl thereftom and lhe basis for the allegeo exemplion. Any , -..__ 1 • ./ qe // J ~ violation ~I Seclion 7031.5 by an appJIcanJ for a·perm1I sub· 1 · '- . Iecls lhe.apphcanUo a c1v1l.penally of not more lhan flve•hun-1 ll------~--------~--------+-=======----a O dred dollars (S5oo). i 1!--=---,..:_.:;;!;E:~~:::!~:::5~:_~C:::::...... _________________ .J DESIGNER'S AOOR ESS STATE LICENSE NO.· E I I r, as owner of the p1op~rty. or my employees with wages -~ a, a: w o· _, as lhe,r sole compensation, ·will do lhe work. and the slruc-• t- lure,,s not intended or olfered·for sale (Sec. 7044. Business " II ~~,_~E:::!::::.Ll;;;;;,J::;;;:'.:::::_..f.~J::;2'....:2...J.,rl-;.....-r.'{).~:J::~:i!...J._::;2-:J_:...:;;i1-__ -ir--~m:---:~~7i~T----i-i~--rc~~;;:--j-;~u-i l 3 lll-ii21• w z and Professions Code: The Contractor's License Law does 1 12 F/P FI R Fl Fv nol apply to an owner pf properly who builds or improves : • thereon and who does-such work himself or through his own -J ~ employees, provided that such improvements are not mtend· ' l • ed or offered for sale. If, however, the·buildmg·or Improve-: m~nl Is sold within one y~aeot ~omplelion. the owne;-builder 1. /RES UNITS GRADING PERMIT ISSUED --. ---.. vO NO --- REDEVELOPMENT AREA NO OCC GP EDU STORIES -#J,,v TYPE OCC LOAD FIRE SPA CONST ~ will have the burden of proving that he did not build or ,m-.(" prove for the purpose of sale). f I CENSUS TRACT I PARKING SPACE YO ND vO NO vO NO Nor Valld Unless Machine Certified lr z 0 a z w 0. 1, QTY. I I L. as owner ol the property. am exclusiveJy contracting with licensed contractors to conslruct the project (Sec. 7044, Business and Professions Code· The Contractor's License Law·does nol apply to an owner of properly who builds or im- proves thereon. and who contracts for each proIects wilh a contractor{s) license pursuant to the Contractor's License ~aw). · 11 As a.homeowner I am I(11provmg my home, and the fQllow-ing conditions exist: · 1. Tile work ·Is being performed prior lo sale. l~ 2. I have lived, in my home foe twelve months prior to completion of this work. . 3 I have not claimed this exemption during lhe last three years. 0 I am exempt under Sec _______ • B & P c. for this reason ___ ~-----~~"--- l i I 4 -,, ,I, D I hereby affirm that I have a certificate of consent to .J self-m~ure. or a certificate of Work~rs' Compensation In-'1 sural)ce. or a cert1fi_ed COP,Y thereof,(Sec. 3800. Labor Code} L\ POLICY NO. . h COMPANY I !\ :=J" Copy 1s filed with the City -. --i ~ QTY._ PLUMBING PERMIT -ISSUE EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATE.~ ANO,OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EACH lNSTAL .. ALTER, REPAfR WATER PIPE EACH VACUUM BREAKER WATER SOFTNER EACH ROOF DRAIN (INSIDE) TOl AL PLUMB IN~---l ELECTRICAL PERMIT -ISSUE 7.,.-57) -7-t'I 7 ..... w ~a ]~I) 1LlL - t '5':(!)f) QTY. MECHANICAL PERMIT -ISSUE 7 INSTALL FURN. DUCTS UP TO 100,000 BTU OVER i00,000 BTU BOILE~/COMPRESSQR UP TO__LHP BOILER/COMPRESS_Q4~ti}Jl METAL FIR.E.a_AC~ ~:V --z ... --tv~i(\A~P'4ci'i.E oucT _ Q:JY M"oo-A'fxHAUST ~MQ_~~s_ RELOCAT!fil!_V~ B'A 'FURNACE;.(~p~r@ --· [)_~ER VE~ _..-A~--,:t;,__g.~~-- TOTAL M@q.HA'f+1-CA~tS5\\'6""' ©\itl.t-~, ~~o ,gt'!t-~BllE HOME SETUP CAR PORT 0 Certified copy, Is her~by ·furnished j 1 1 PH AWNING IS~S:0-SUMMARY/ACCOUNT NUMBER Of. 73U I LDING PEffMTT uu1:s10:oo~-8220 ,. SIGN PERMIT 00 f-810·00-00-8221 PLAN CHECK 001-810·00-00-8891 TOTAL PLUMBING 001·810-00-00-8222 ,,, ELECTRICAL 001-810-00-00-8223 (A r M~CHANICAL Q01-810-00-00-8224 T MOBILEHOME 001-810-00-00·8225 SOLAR -J)Ol-810-00-00-8226 STRONG MOTION W_,,,-{µ,S1mo-519-92·33 FIRE SPRINKLERS 001·810·00-00-8227 ;3~. PUBLIC FACILITIES FEE 320-810-00·00·8740 BRIDGE FEE '6/,,..,-~~10-00-00-8740 PARK-IN-LIEU (AREA ) TIF Kb-i/-Sb-V 312-810-00-00-8835 LA COSTA TIF 311·810·00-00-8835 2: ' •. 0 CERTIFICATE OF EXEMPTION FROM U WORKERS' COMPENSATION INSURANCE i GARAGE I II FMF ~ i ------f,/J (This sectioO heed not be completed if the permit i:c ,s 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 ::i-' :.!'-manner so as to become subIect to the Workers· Compen- ::> satIon Laws~of California. NOTICE TO APPLICANT: If. affer,,naklng this Certificate x 1 PH 3 PH ·1 REMOOEL'ALHR PER CIRCUIT : TEMP P_O.tE 200 AMPS L. OVER 200 AMPS { t"....; . f TEMP OCCUPANCY (30 DAYSI of Exemption: you should become subJecMo the·Workers· CompE!nsalion provIsIons of the Labor, Code. you niust ·1( f9rthwIth comply witfl such provisions or this permit shall :/ be deemed revoked. l } TOTAL ELECTRJCAL l\ •',.,._ CR§!)IT DEP.OSIT 1 ..S&. TOTAL TOTA~ FEES PAYABLE J A T"'h-,-""I7 ,- ·rl If,, -q;:q::: -<.:"< ~~ -- , TL,-,7/q • ,/ ... -z:::ri;;;oo> 13'>17 ,! '· l D I hereby affirm that there is a construction lending I\ ffi ,""agency for the Performance of the work for which this per-~ c .. mil is issued (Sec. 3097, C1v1I Code) -11 I HAVE CAREFULLY EXAMINED THE COMPLETE.O "APPLICATION ANO PERMIT" ANO 00 HEREBY Expiration. E~ery per_m,t is~aed by lhe Building Ofhctal under the provisions of this ~-OSHA PE , IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER' PENALTY OF PERJURY THAT Al:.L IN FORMAT-ION HEREON INCLUDING THE Code shall expire by hmit~Mn aod become null 8nd vmct !I the bull(!ing or work 5' O" DEEP O OEMOLfTION OR CONSTRUCTION OF z . ~ 'Lender"s Name ' ~ "'Lender's Address -~ I authorized by such permit ,s not commenced within 180 days from the date of such · DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS permit, or if the...bUilding..:Q( work authorized by such permit 15 suspended or ST S OVER 3 STORIES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUN'fY ANO STATE LAWS GOVERNING BUILDING CON• abarictonettaf a time after the"work 1s commenced for a enod of 180 da s. ,. STRUCTtON. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO , z ·, _ &.. KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO PR ANTS StG URE 'f. ;; OWNER O CONTRACTO~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH 1 // _ . /..,Ir.,~ BY PHONE 0 GRANTING OF THIS PERMIT. ~t:.~ ~ ~::'i>Z:-,, ---____ ,_ I 'O 0 (!} c <1l (.) Q. Q. <I: I ~ C ~ ~ o.l VJ VJ Q) VJ VJ <I: I ~ .2 ai >- Q) (.) C <1l C u: C Q) ~ (!) 0 c3 Q) Q. VJ C Q) .c ~ .......... -, . ' ;·.~ r . r. . __ ; ""'"-~-·.., . . . ~) .. ~ -·· ·-· : ... ~::::_: l\C.fLeiL'A ·d c-'?,c~ ··, \ ·;,,.'.J ,·; . ! ·, f.;: A l. r:. o T'7.0 r-,. ' -"-.,," . , · j . DATE ·1NSPECTOR . .. . .. . · . ;:_ ·¼· :· · · • . . • • -. · :;"' <. . ·, . ; · ; i :, . ·,.-.... --·· :• .. · ._ •. ·. ' ' .,_:.i:::' .. _ ·-.. ,... .-... ,_:/ .. ·_, ":, ,I BUILDING I ': ' . .L'l-'.I '/ '_.,, . ' ' ' ; .. ' r ,~, 'FouN0At10N · · .. · ..... ; ::r .... , · ·r1.1v • .Jl.'JiV" :" i::,ELo·,NsPEti,o~·REcoFro -- ~ ,.: ~,( -~f'E' J . .;· ·'.~Ei~Fd~c~bsTE:EL,,..'~·:: :,.;,'t, 111'~1 .• ~v, .,., • • '. ,... !3Eb[iiR~D.SP~Q!AL.,INSiECJ'.IONS". ,·c.···.: :.,·!NSP-.ECJ;OR'SNOTES::--~>-----.;, . ., ·-; ' :<·::;;_·\ ' i• M=Aa6N'i-W ~ ~~% /#-_u3 f ,< .. ~~ • ' ' ~REQ: IF: .:INSPECTfOR;S . : . ' .· -' r ~ ... :, /Y ' . ! ; 'C:.:~ :.~~-\~ ·: . •I'' f:; :,. ·G!J.NiTE OR.GROUT.:::·· . ·l .. :;< _ ... _·, -·:··--. · , · -· ... !NS,PJ=FHQN_ .. 6HE9,KE_(? ', APPRO,VAL D~XE --~~y~ ~~-[~~~Iyit'J_ ~-. · :· "(:.~'°:t''-,;,}~ ... ',. :;-..... : .. ' ., ...... .,,. .. ',''"o·" 'EL"o•·o·R ·o'" 'CEl.·IN'G· . . .·. , --'"-·, ... .,·. :,; .. ",C', ,, ····r ·•:. ·,:,,;.~· ,;..,:-f,A'~f ., ·"· ' 1,, · S.U.B: .FRAfy'lJ; · 'r, ........ ·, ·, ' . . . . . .... ' ... ~ · · ... · ... · · /L_._: . · .. , SOIUSC_Qlv!PJ.c.fANC~ . . . _ •. , • . . ..,,,;.,· ... : ~--.r~r.'f.'. "':-. Mi'J-./<. . . : . . . . . . . . . . '!'..·. . <···· ........ ;, ... · ,·0·F. :,r-,··s·!, E'AR,· ·~,; /'.[ .,,,f:.&,~~1.~ .......... ·• 'PR10R'fo· ---. . , · ·.. . . -.·, . ·l -.. \ \. ? ·· -. SH_l;A]J-U.N(l D ·RO ... · · l:.oJ • r• I"\· · •· .~ • '/";Zu.r:,· ~ · . i=ouN0Air0N, 1Nse· -l · ' .. -· ··..::;,;.<·. ,.....,"\A.j:,.; \' ,. t· !':{,,.,::.~r'l'si~, -....... ·· · ~ · · · · I , t:,··::_.-~. ,•, .'-''.' · .,·;·-~-·-.·.· ..... _,'J-d_'J;_A~·----:----··· '•, .. •; ',·• ·.";· '. .. -~"'::-~.,._,_, .·-::.~"·:""~'"·,:'.'··,,"".>1·· ... ,_·,;·:·.: . .-.. ('· ... , i. F.RAM.E;.; :-:. <" .. · · · -·· · : .-·-1~ .: _ ·: ~:·· :~I_ f. -1_ I":./: 11 ... :: . -: .: : .: · ~ ·S'fR,OGJ8RAL CONCRETE . : · ., , · · ... · · . · • -·'!tr-,~ ,t~..J' t::.. · \ · · ,, · ':'-· • 'cl.· . r .. :~:~~~T't . , . l, _ >' , , .' : . ·. ... . .• ;f;J;;;:~ . -······ . -. -.. _i-> -., ~~-c . . . ,:___ t\·?1 f: -iN11:tRiai:ft~r1:f:.&J)R'fWALl:-J-~-· .. ·,~ · ·· .. ,-:-,······ .. .::,:l?;_Qsi.TEl\1~!9-~ED' ···· . . 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I\~~., ~ ," -----_, .. ,._ ' •.•. -··-' ·•,,•1.-~.-~ .. ...,, __ " .... _to.-.. ~ ;!,( .... ·~--.. ~--· ., •• ',,\. ~ ,l,...,.~--\~.-~.---·VENTILATING·SY$TEMS J. ·'.'.~'.-: · :· ,, · •. : · ' · """ '-'. : · ·:: • . -.; ----• _-. ~ ··~: ._ ' . ~ ,• ,. > ---! -1_·::-, .·-~. ·, .. ,~·: --¼~::.t:~-~~-~~::f?~:::--;..:---~~~~. ,.:_,i~·· _.,,, ···~ .:~·:.:·,CA(L ,FOR FINA~ lN$PE(;;.T~.ON WHPf AJ1S"APPRbtR~A'TE:~-:..1· ' . ' ' -., 1 · .. ' I: ~. I I ...... :· .. ITEMS ABO.VE .HA \,E BEEN.APPRO.VED.. . . . ... -,, · ... . .. ·, ... ,_:'., . :··FtNAC .. ·~· J. . .. ,T · · I .. ·· · · . .. . ....... PLU~~ING ' : "' j ' .'\'·,' .. '~ - ELECTRICAL ~· c., __ • __ _::~ ·,,. .•'·• ,. • ':-!: . I . : . . · ... '· · .. .. K_. . .. I... 1· . ...... ... . . ... .. , ... n . _.--;..:·, .. ···· :t J, ., l;.__ . .. ..... , t--' ' '\ ' .,:./ \' '\'t.1..Jv"-"' j ~~ ' • :':'·. ~. ,.. .. ;-io\""'".: .. --t,._ ~.c......i\_!__~. ,f''\r:t. ·.,.1,~...,\ ~.. 'l'f ~..1 " .... ',J 'J,-\,,,H, .. f " ~-f~i . 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'I ··-FINAL BUILDING INSPECTION _V) o:;t};f l~oY PLAN CHECK NUMBER: 88-~ E, F, G ------~-----------DATE: 2/21/09 PROJECT NAME:-------------------------------- ADDRESS: __ 2_7_7_6_-_7_8_-_no_,_-<_)l_<_e_r_A_V_f~_n_u_e_V_le_-,s_·t _________________ _ PROJECT NO.: _..._ _______ UNIT NUMBER: ________ PHASE NO.: _______ _ TYPE OF UNIT: cm,1r.1 NUMBER OF UNITS: CONTACTPERSON: ____ D_a_v_~_B_~_.r_n_~_.t~t.,__L~u~s~~-r~d~i ________________ _ CONTACTTELEPHONE: _____ 9_3_1_-_7_6_0_8 ____________________ _ all dep,:wtm-2.nts IN.PECTE~# d BY: ~ c ~A;iECTED: FEB. 2 7 1989 APPROVED ~ DISAPPROVED INSPECTED DATE BY: INSPECTED: APPROVED. DISAPPROVED INSPECTED DATE BY: INSPECTED: APPROVED DISAPPROVED coMMENTs: _C_o_s_t_a_R-=-e_a...,.1 _M_u_n,,_1_·c--=i p"'""a_l_W_a_t_e_r_D_i_s_tr_·1c_'t _____________ _ Engineering Department (61 9) 438-3367 • I • FEB 2 11989 t i.. -~------;:.-1 · ,. ':".7i.L---··· (./\ ' . '' . . Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire ~-----~-----------------------~------ •,, j FINAL BUILDING INSPECTION-~ ' /~$'¥ ~-BLAN CHECK NUMBER: _8_8_-_~-=---E..:..,_F..:..,_G _________ _ DATE: 2/21/89. PROJECT NAME:-------------------------------- TYPE OF UNIT: ___ C_O_f:._!Jt_~1 _______ NUMBER OF UNITS: INSPECTED ell departments DATE INSPECTED: 3/1.-/rf ~· ' BY: _________ _ DATE INSPECTED: · DATE \ ,." · INSPECTED: ____ _ . .. '' ·. '\ ', _) \ ' ' ' '. \ {'' ) . \ , ... '-. .) \ I \ ... -~ ' . . APPROVED APPROVED ' ' I ' "\ APPROVED __ _ DISAPPROVED __ _ DISAPPROVED __ _ '· ) \ \ \ '\ ·-,~· ' \ ,'\ \ '\ ). COMMENTS:--------------------------------- • .. ·~ •••~I J Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN:' Engineering CANARY: Utllltles PINK: Planning GOLD: Fire -.. \,. ' . ' ~· "FINAL BUILDING INSPECTION --~ /f":rr PLAN CHECK NUMBER: _8_8_-_t!l1f __ E_·_, _F_,_G __ , _________ _ DATE: 2 /21 /89. PROJECT NAME:-------------------------------- ADDRESS: __ 2_7_7_6_-_7_8_-_8_0_Lo_k_e_r_A_v_e_n_u_e_i_ve_s_t __________________ _ PROJECT NO.: ________ UNIT NUMBER: ________ PHASE NO.: TYPE OF UNIT: COMM NUMBER OF UNITS:' ____________ _ 1. CONTACT PERSON-· ____ D_a_v_e_B_a_.r_n_e_t_t;.i:._. _L_u_s_a_r;_d_i ______ --___________ _ CONTACT TELEPHONE·-____ 9.;..;3.;..;1:_-_7...:..6..:.0..:.8 ___________________ _ all deoartments INSPECTED BY: _________ _ INSPECTED ; I• BY: _________ _ INSPECTED BY:__,, ________ _ ~A;:ECTED: ..3 ;/3--%9 APPROVED / DATE INSPECTED: DATE--., INSPl;CTED: APPROVED APPROVED DISAPPROVED __ _ DISAPPROVED __ _ DISAPPROVED __ _ ,._<?, .~ COMMENT~: ---------------------------:.a..-';:_ ___ _ ' -· Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utllltles PINK: Planning GOLD: Fire ---------~--------------------------------------1 ,_ ·~ ., ':' ;_: ..,.,._ ,. "·l· t i. ~ ·1 :, ,, ~ '·'. ;({t,\,//,)! ;.::·,, ' . '. I f '·" ~' • \ • ! --:: i ,-~ ,•J. > ·,,i-·.,:;.: :,~\:' ._,:,~t .,t · V'\)'.;:,~~!1i}\::f \i]H1 •. .. . · · ., ,,-: ',',' ,i 'J ,'~· 1 Rev.1/86 ,:,;,' WHITE: Suspense BLUE: Water District .GREEf,I: !=nglneerlng',!,CANARY: Utilities • • ': ~ ~.,,,•, •'1;·,•::<l ..... ,~-~-',l:;•,,,~':.·.·1,•£,', ...... ,·,,·,~,/,'< ·, < > ' •• f-c ' J ', • '~ :.': .' ', ! • , ,' > ',:" ,• p ;; ,'ti:,,/ I J1 / ~' :. ~ ·i' J '.'i \ ,~, '-'.,;•i.':~~: 'f, ~.__cf :~I ·,,,.,, '~~*"''t.. ,. -'~·~. ,, ; ' ~ t, . ~:· ·~ -.: .... ~ ... '•, \ .~ .. ' PINK: Planning 'I /, .. ''\: ·i': ~;,. \.J: GOLD: Fire ·\' _., ._'._: : ._); ; ; ,I •I ; . } ,..1 JHJ\!!' ·· ... ; ,4··· .,, ~ ( ~\\' '·;,,····, • ~,~ .· ... ,,\\t .... " . . . \ \ ("'\ I '\ ,-. '.... ' • ,-: 1 . . . · :, ... ·:, .. ·~·' ).).J ·\ ____ ··,_) _ \_ -:, .... 1 'i .... 1;-,:-' r · -- ,j •• \ . • • •. I-/ .. -. "\ . f~· • • ' j ,··· -\ ,; \I \. \•'.i \ 1l.) ·:·::i • '. ___ ... ·~-\ ,_ ... \ r-:,l. .. : .\ ' .... 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' . • I ··\ t_ ,I. ., I ' , . ···, : t \ ,· -~ \ ·----~ .. ·-"tr_··)\----.. ( ~'i,· .. ·_·-·,·-·-./ \ .. _~_.) \y·... -• ' . ' . ~ \ ,-··\ .. -........ i '"\ 1 • 1-,-· -. \',!.\( • ___ .... ' •• .11.. .••. • .•• ~) • I• I •' !, 'J ;' ' I i· . ' ,/ , . I ·F,INAL euiL01NG INSPECTION -fJ~ I '16'"'f / .r PLAN CHECK NUMBER: _V_.B_·--~_-__ f.:_,_F...:..,_G ____ -'--------DATE: 2/'? 1 /f''J \ '. PROJEct NA~ · ADORES~~.~ '2~~-;:~8~-·L0~rnr I AvP-nun . -' PROJECT NO.: ________ UNIT NUMBER: ________ PHASE NO.: _______ _ TYPE OF UNIT: ____ C_(_)~_.V_-.1 _______ NUMBER OF UNITS: CONTACTPERSON-· ____ r_i~_v_~_-_f_3~_-r_1~·1~_.t~t~,_L~t1~5_n~r~d~f _________________ _ CONTACTTELEPHONE:, ___ --,-_9_3_1_-_7_6_0_8 ____________________ _ INSPECTED ~ BY: ----~---'I'--,::.=---- DATE INSPECTED: ..!-/.~=:....-=-'--'-APPROVED DISAPPROVED __ _ INSPECTED DATE BY: __ _;:_ ______ _ INSPECTED: APPROVED __ _ DISAPPROVED __ _ INSPECTED DATE BY.: _________ _ INSPECTED: ____ _ APPROVED DISAPPROVED __ _ f '1 Rev. 1/86 WHITE: Suspense BLUE: Water District GREEN: Englneerl~g CANARY: Utilities PINK: Planning GOLD: Fire ,) 1.\ ;,A -------· ------- /J ,. ! I ,, ,, .. ......__ ·Wyman Testing Laboratories 13230 Evening Creek Drive South Suite 218 San Diego, California 92128 ( 619) 486-0354 OREINFORCED CONCRETE . OSTRUCT, STEEL ASSEMBLY COVERING WOAI< PERFORMED WHICH REQUIRED APPROVAL BY THE SPECIAL INSPECTOR OF OPRE,STAF.SSED CONCRETE OAEINF0RCED GYPSUM OGLUE-LAM.FABRICATION DREINF0RCED MASONRY DPILE DRIVING OonlER JOB ADDRESS 2778 Loker Av • OWNER OA PROJECT NAME Can on Pacific Phase II Bld. F CONSTA, MAT'L (TYPE,GRADE,ETC,) DESIGN STRENGTH SOURCE OR MFGR, DESCRIBE MAT'L, (MIX DESIGN, RE•BAR GRADE & MFGR,) NO, FOR WEEK ENDING . PLAN FILE NO, 19 LAB RECEIVING & TESTING CONSTR, MAT'L SAMPLES CERTIFICATION OF COMPLIANCE Wyman Test·ing Labs here-by certify that we have. performed a:11 the "Special Inspections" required by the local building department (i.e. Concrete, Reinforcing Steel and Welding) and I have found this work to be in accordance with the approved plans, specifications, Permit No. 88-1454 F and applicable building code. CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE INSPECTED ALL OF THE ABOVE REPORTED WORK, UNLESS OTHERWISE NOTED I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS SPECIFICATIONS, & APPLICABLE SECTIONS OF THE CITY OF SAN DIEGO BUILDING LAWS, ISTERED INSPECTOR yul/2.--~ REGISTER N