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HomeMy WebLinkAbout2794 LOKER AVE W; 107; CB891580; Permit.... . ... B U I L D I N G P E R M I T 10/27/89 15:47 Page 1 of 1 Job Address: 2794 LOKER AV WEST Str: Permit Type: COMMERCIAL TENANT IMPROVEMENT Parcel No: Valuation: 11,319 Construction Type: NEW Occupancy Group: B2 Class Code: Description: CONVERT 588 SF WHSE TO OFFICE OWNER EL FUERTE BUSINESS 4199 CAMPUS DR IRVINE CA 9 *** Fees Required Fees: Adjustments: Total Fees: Fee description Building Permit Plan Check Strong Motion Fee Enter 'Y' to Autoc Enter Number of ED * BUILDING TOTAL Enter "Y" for Plumbi Enter "Y" for Electr· Other * ELECTRICAL TOTAL ($10 Enter 'Y' for Mechanical CITY OF CARLSBAD Permit No: CB891580 Project No: A8902721 Development No: Fl: Ste: 1003 10/27/89 O{}OJ 01. C2 C-·?~::MT Status: Applied Apr/Issue Validated By: ISSUED 10/18/89 10/17/89 CD 619-438 6660 .oo 88.00 548.00 *** Ext fee Data 135.00 88.00 2.00 396.00 Y .00 621.00 N 5.00 Y 10.00 REMODEL 15.00 N 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION Cn1:1-18&1 City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1. PERMIT TYPE A O COMMERCIAL TENANT IMPROVEMENT 0 INDUSTRIAL ONEIi OTENANT IMPROVEMENT • . . . . B C 0 RESIDENTIAL O APARTMENT OcoNDO OSINGLE FAMILY DWELLING OADDIT[ON/ALTERAT!0N OouPLEX OoEMOLITION OMECHAN!CAL OPO0L ORELOCATION OMOBILE HOME OELECTRICAL OPLUMBING OsPA ORETAINING WALL OsoLAR OoTHER __ ,--__ _ 2. PROJECT INFORMATION PLAN CHECK No. Address ~ 7 o/''/ J_,ol{. E' K Nearest Cross Streets LEGAL DESCRIPTION Lot No. Subdivision Name/Number CHECK BELOII IF SUBMITTED: 1:82 Energy Cales ~2 Structural Cales D 2 Soils Report D 1 Addressed Envelope ASSESSOR IS PARCEL EXISTING USE F 0727 10/18/89 0001 01 C-F'RMT Unit No. Phase No. PROPOSED USE I RooM 1) IV f)2.1!.~-:,--S$1; BLOG. SQ. FTG. ~ / ,,_;.,,-# OF STORIES -OFFICE 3. CONTACT-PERSON 0.-, L. 88-00 NAME A-P.'1"' Fo '$. ADDRESS STATE C )'\, ZIP CODE µ /0 '7 CITY C,/4)(../~ J.3_)'\-\) ~,_. SIGNATURE DAY TELEPHONE 'I J.J -7.?70 4. APtLICANT NAME rr-~ ,--,=-ox D CONTRACTOR 0 AGENT FOR CONTRACTOR ADDRESS DOWNER 0 AGENT FOR OWNER CITY 5! ltmE STATE Zl P CODE DAY TELEPHONE 5. PROPERTY OWNER NAME e I rU eP-re e e wrt:;,:. ,2 ow~ OLESSEE OTENANT 6. 7. 8. ,...tJ S / J4J ZS :S ADDRESS #8,3c:J Cl TY / (3, V I ,t., ,e, p J'l-Jt..f N'c~'S STATE ~,,_ZIP CODE Y/71' C14w-r's. O,c. 9 ~ 7/ ,s-DAY TELEPHONE ¥3<f'-<566o CONTRACTOR NAME CITY SIGNATURE DES I GNER NAME CITY STATE STATE L!C. # ____ _ STATE WORKERS' COMPENSATION ADDRESS ZIP CODE LICENSE CLASS _____ _ TITLE ADDRESS ZIP CODE DAY TELEPHONE CITY BUSINESS LIC. # DATE DAY TELEPHONE STATE LIC. # Workers• C~nsation Declaration: hereby affirm that l have a certificate of consent to self-insure issued by the Director of Industrial Relations, or a certificate of Workers• C~nsation Insurance by an a<initted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE 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' C~nsation Laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: 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, w.ill do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor1s 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.). 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) licensed pursuant to the Contractor Is License Law). D t am ex~t under Section ___________ Business and Professions Code for this reason: (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, commencing with Section 7000 of Division 3 of the Busipess and Professions Code) or that he is ex~t therefrom, and the basis for the alleged ex~tion. 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] ). SIGNATURE DATE COMPLETE TH l S SECTION FOR NON· RES !DENT !AL BUI LOI NG PERMITS ONLY: ts 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 Act? OYES ONo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? OYES ONo Is the facility to be constructed within 1,000 feet of,the outer boundary of a school site? DYES IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCllJPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS IIET OR IS MEETING THE REIIJIREIIEIITS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY 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 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives 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, JWGMENTS, COSTS ANO EXPENSES IIHICH MAY IN ANY IIAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. 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 building or work authorized by such permit is not conmenC:ed within 180 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 the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLIC/41$-o D OWNER D CONTRACTOR D BY PHONE WHITE: File YELLOW: Applicant PINK: Finance APPROVED BY: -------'-DATE: -~- PERMIT# CB891580 DESCRIPTION: CONVERT 588 SF TYPE: CTI CITY OF CARLSBAD INSPECTION REQUEST FOR 02/01/90 WHSE TO OFFICE JOB ADDRESS: 2794 APPLICANT: FOX, ART CONTRACTOR: LOKER AV WEST STR: PHONE: 431 9870 PHONE: • INSPECTOR AREA TP PLANCK# CB891580 OCC GRP B2 CONSTR. TYPE NEW FL: STE: OWNER: EL FUERTE BUSINESS CTR REMARKS: T2/MH/ART/431-9870 SPECIAL INSTRUCT: SUITE 107 PHONE: 619-438~ INSPECTOR --~-L...-...u;.,=-+------ TOTAL TIME: --RELATED PERMITS-- LVL DESCRIPTION PERMIT# CB881065 CB881688 SE890053 880065-2 CB891761 CB891875 TYPE CTI CTI SWRST COM ITI ITI STATUS ISSUED ISSUED ISSUED ISSUED ISSUED ISSUED ACT COMMENTS t 19 ST EL Final Structural Final Electrical ~----,, 39 ~-- ~; ---------------------------------------- ***** INSPECTION HISTORY***** DATE 120189 120189 112989 DESCRIPTION Frame/Steel/Bolting/Welding Rough Electric Rough Combo ACT INSP AP TP AP TP NR TP COMMENTS NEED SUITE# DATE: ESGIL CORPORATION ,o \ zo\ B°2 1 ' 9320 CHESAPEAKE DR., SUITE 208 ~'O· ~,._ to! 1 ~ 1e,'j SAN DIEGO, CA 92123 (619) 560-14-68 -AEBlrl~:N.tfi___ JURISDICT JURISDICTION: C e:n,.<-5$12 R:::Q JPLAN CHECKER QFILE COPY QUPS QDESIGNER PLAN CHECK NO: _ __._S ....... <3.__-_.\._'=i"-"'-"&=o ____ s_E_T_:_--*----- PROJECT NAME: _____ ~S~u=-'-\1:i:;.,_,__~_\..i......:::;0_41,...-______ _ D D 0 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 deficien- cies identified OS.OW are resolved and checked 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 recheck. The check list transmitted herewith is for your information. The plans are being held at Esgil Corp. until corrected plans are submitted for recheck. The applicant's copy of the check list is enclosed for the jurisdiction to return to the applicant contact person. O The applicant's copy of the check list has been sent to: ~ Esgil staff did not advise the applicant contact person that plan check has been completed. 0 Esgil staff did advise applicant that the plan check has been completed. Person contacted: ____________ _ Date contacted: _________ Telephone# _______ _ ~ REMARKS: u) e\...Y1:JZ..)El:t DJ:i T1+l:;;f e~J :rt:b:3-r '1 ex,"11-4-SJ;;ac;;:s 1.µ1q ... P&;: l::fh'\ '1t.u;t l::iO 0u-r" 13:Wi To::D3:l.. fV V WI f,\i!'.'Zr Q F ~ PL.o::t l.;i't3!S Wll,..v )Vo, ~ '-'GlaP \:i;,<;12..; OGC s~ I JoS-11 C\E ,.\,)(:..~ \ ~ }:Vm:: ~ (gfi~(;?"') V!2,-0v,Ota' J?r(OO'Tt+I:~ ~14tV1J\( ee ::r11Y8" Q,(5t (Coo~), . · C 0 By : :Jj\l{\ (,;;d '-'-\:b emJ Enc 1 os ure s : .... (£ ... 1)...__~_~;....4-1....;.;1J;;....;t;.~------ ESG IL CORPORATION OGA DAA Dvw OoM Jurisdiction CV°p'LL ~0\~ Prepared bys .::::r. vvt VALUATION AND PLAN CHECK FEE CJ Bldg. Dept. O Esgil PLAN CHECK NO. 85'.)-IS~ BUILDING ADDRESS "2 7 °) 4-L-0~72.. APPLICANT/CONTACT A:JLT fQ ?<. BUILDING OCCUPANCY i3 -2 (T", I ,J TYPE OF CONSTRUCTION V-1\i BUILDING PORTION BUILDING AREA it:: t,Qla-, W ~ -r I o 7 PHONE NO. <:\-.3\ ~eJo DESJGNER PHONE ------CONTRACTOR PHONE ----- VALUATION VALUE MULTIPLIER 0 ~r-:, \\ \' S"8B OJ \ 9, 'Z.. S" -\ \ ~ 1 ~ I Air Conditionin£ Commercial @ .. Residential (cl Res. or Comm. Fire S'Orinklers @ Total Value \\)3'\~ Building Perm it r ee $ ___ {_:,_5 __ . _O_O ___________ __.. ______ _ Plan Check fee $ ~ 1 l (~ $ __:;._ _________________ ,_;:;_ ______ _ COMMENTS._:--------------------------- SHEET OF --12/87 BUILDING PLANCHECK ENGINEERING CHECKLIST DATE: /0-,Z-f-Yf PLANCHECK NO. !3916,lJO IZ] © 1 2 S N T D 3 21?1' ~I~(< Ave. U/G.sr, ITEM COMPLETE ITEM INCOMPLETE - NEEDS YOUR ACTION R _x__ITEM SELECTED D C C C PROJECT I0:_ ...... 7.......,-.Z-_________ _ H H H E E E LEGAL REQUIREMENTS C C C ~ K K Site Plan ~DD NttrD D ~DD FRMOOlO.OH 1. 2. 3. Provide a fully dimensioned site plan drawn to scale. Show: north arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of- way width and dimensioned setbacks. Show on site plan: Finish floor elevations, pad elevations, elevations of finish grade adjacent to building, existing topographical lines, existing and proposed slopes, driveway with percent(%) grade and drainage patterns. Provide legal description and Assessors Parcel Number. Discretionary Approval Compliance A 4. No Discretionary approvals were required. ___ 5. Project complies with all Engineering Conditions of Approval for Project No. ________ _ ___ 6. Project does not comply with the following Engineering Conditions of Approval for Project No. ________ _ Conditions complied with by: _______ Date: ____ _ Field Review ___ 7. Field review completed. No issues raised. ___ 8. Field Review completed. The following issues or discrepancies with the site plan were found: ___ A. ___ B. ___ c. ___ o. Site lacks adequate public improvements. Existing drainage improvements not shown or in conflict with site plan. Site is served by overhead power lines. Grading is required to access site, create pad or provide for ultimate street improvement. 08/29/89 FRMOOlO.DH ___ E. Site access visibility problems exist. Provide onsite turnaround or engineered solution to problem. ___ F. Other: ___________________ _ Dedication Requirements K 9. No dedication required. ___ 10. Dedication required. Please have a registered Civil Engineer or Land Surveyor prepare the appropriate 1 ega 1 description together with an 8\" x 11" plat map and submit with a title report and the required processing fee. All easement documents must be approved and signed by owner(s) prior to issuance of Building Permit. The description of the dedication is as follows: ____________________ _ Dedication completed, Date: ____ _ By: _____ _ Improvement Requirements ___ 12. No public improvements required. SPECIAL NOTE: Damaged or defective improvements found adjacent to building site must be repaired to the satisfaction of the City inspector prior to occupancy. Public improvements required. This project requires construction of public improvements pursuant to Section 18.40 of the City Code. Please have a registered Civil Engineer prepare appropriate improvement plans and submit. for separate plancheck process through the Engineering Department. Improvement plans must be approved, appropriate securities posted and fees paid prior to issuance of permit. The required improvements are: _________________ _ Improvement plans signed, Date: ____ _ By: ____ _ 08/29/89 FRMOOlO.DH ___ 13. Improvements are required. Construction of the public improvements may be deferred in accordance with Section 18.40 of the City Code. Please submit a letter requesting deferral of the required improvements together with a recent title report on the property and the appropriate processing fee so we may prepare the necessary Future Improvement Agreement. The Future Improvement Agreement must be signed, notarized and approved by the City prior to issuance of a Building Permit. Future Improvement Agreement completed, Date ______ _ By: ______ _ Grading Requirements ___ 13a. Inadequate information available on site plan to make a determination on grading requirements. Please provide more detailed proposed and existing elevations and contours. Include accurate estimates of the grading quantities (cut, fill, import, export). 114. No grading required as determined by the information provided on the site plan. __ 15. Grading Permit required. A separate grading plan prepared by a registered Civil Engineer must be submitted for separate plan check and approval through the Engineering Department. NOTE: The Grading Permit must be issued and grading substantially complete and found acceptable to the Citv Inspector prior to issuance of Building Permits. Grading Inspector sign off. Date: _____ By: ___ _ Miscellaneous Permits P\ 16. __ 17. __ 18. ~19. k_zo. Right-of-Way Permit not required. Right-of-Way Permit required. A separate Right-of-Way Permit issued by the Engineering Department is required for the following: ____________________ _ Sewer Permit is not required. Sewer Permit is required. A Sewer Permit is required concurrent with Building Permit issuance. The fee required is noted below in the fees section. Industrial Waste Permit is not required. 08/29/89 FRMOOIO.DH __ 21. Industrial Waste Permit is required. Applicant must complete Industrial Waste Permit Applicantion Form and submit for City approval prior to issuance of Building Permits. Permits must be issued prior to occupancy. Industrial Waste Permit accepted -Date: ____ By: ______ _ Fees Required ~2. ,J/'f<r-23. .td}A_2s. _d&,26. _lL_27. 4k-2a.· Park-in-Lieu Fee Quadrant: '2. Fee per Unit=-=====--Total Fee:~ Traffic Impact Fee Fee Per Unit: ______ Total Fee:~ Bridge and Thoroughfare Fee Fee per Unit: ______ Total Fee:~ Public Facilities Fee required. __ REMARKS: _____________________ _ ENGINEERING AUTHORIZATION TO ISSUE PERMIT BY:-<::::2---::;fk .... Date:_~"""""l?/?_~~¥/2_91;..___ ~ I J 08/29/89 GI GI GI ... ... ... «I «I «I Q Q Q ~ J J .0 .0 .0 ; ~ ~ ......... ~ ~ ~ .c .c .c u u u 5i 5i 5i -Q. Q. Q. ~ ' doo OOo -,- PLANNING CHECKLIST Plan Check No. C§fr-1:)~0 Address APN : pt.;g-.Q:d.. J .:1 t.f Planner Jnle; Gmii,i · (Name,VJ _1 ~ Phone 438-1161 -=--=-=~---- Type of Project and Use ~Q« /~ Zone ?/JJ Facilities Management Zone __ ¢:":....__ ___ _ Legend [11 Item Complete @ Item Incomplete -Needs your action I, 2, 3 Number in circle indicates plancheck number that deficiency was identified Environmental Review Required: YES __ NO /S TYPE ____ _ DATE OF COMPLETION: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval _________________ _ Discretionary Action Required: YES __ NO .p:_ TYPE ____ _ APPROVAL/RESO. NO. ___ _ DATE: PROJECT NO. · OTHER RELATE __ D_C~AS""""E=s-: -=--=--=-===------------- Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval _________________ _ Coastal: YES __ NO_£ DATE OF APPROVAL: Compliance with conditions of approval? If not, state conditions which require action. Conditions of Approval _________________ _ ~DD DOD DOD ODD DOD DOD DOD DOD DOD DOD Landscape Plan Required: YES ___ NO+ See attached submittal requirements for landscape plans Site Plan: 1. 2. 3. 4. Zoning: 1. 2. 3. 4. Provide a fully dimensioned site plan drawn to scale. Show: North arrow, property lines, easements, existing and proposed structures, streets, existing street improvements, right-of-way width and dimensioned setbacks. Show on Site Plan: Finish floor elevations, elevations of finish grade adjacent to building, existing topographical lines, existing and proposed slopes and driveway. Provide legal description of property. Provide assessor's parcel number. Setbacks: Front: Required ___ Shown __ _ Int. Side: Required Shown __ _ Street Side: Required Shown __ _ Rear: Required Shown __ _ Lot coverage: Required ___ Shown __ _ Height: Required ___ Shown __ _ Parking: Spaces Required ___ Shown __ _ Guest Spaces Required Shown __ _ Additional c011111ents and remarks have been made on the building plans. These marked-up plans aay be picked up at the Building Department. These marked- up plans must be resubmitted with the revised plans for this project. Have plans been marked up? YES __ _ NO )( Additional Comments ______________________ _ DATE /..::?~ PLNCK.FRM 2560 ORION WAY CARLSBAD, CA 92008 Citp of <ttarl~bab FIRE DEPARTMENT PAGE 1 oFL TELEPHONE (619) 931-2121 APPROVED DISAPPROVED PLAN CH ECK REPORT PROJECT rllA X I IF (' e, t,i" .~ I ) I c.., ADDRESS ,?)]9 l/ Lw<c~7l ADDRESS c:)frz\1 i) t t::::C,,. 0 ADDRESS . ··rJ;."u 1,., ic' 107 ARCHITECT ::t . l . t) t 'h c r,, 1 PHONE,------- PHONE OWNER Z:-1 · Ft.nOE .i3, 4 ,;, / i 1:·s ~ 0:), Tt:7( OCCUPANCY ·o 'J CONST. \. / /,./ TOTAL SQ. FT. ------STORIES ~SPRINKLERED ~ENANT IMP. __ 1. __ 2. __ 3. ~4. __ 5_ APPROVAL OF PLANS IS PREDICATED ON CONFORMING TO THE FOLLOWING CONDITIONS AND/OR MAKING THE FOLLOWING CORRECTIONS: PLANS, SPECIFICATIONS, AND PERMITS Provide one copy of: floor plan(s); site plan; sheets ____________________ _ Provide two site plans showing the location of all existing fire hydrants within 200 feet of the project. Provide specifications for the following: Permits are required for the installation of all fire protection system~dsmmkl~-rytand pipes, dry chemical, halon, CO2, alarms, hydrants). Plan must be approved by the fire departme~r to installation. The business owner shall complete a building information letter and return it to the fire department. FIRE PROTECTION SYSTEMS AND EQUIPMENT ~ 6. The following fire protection systems are required: '-ill.Automatic fire sprinklers (Design Criteria: £) c2 t::>c:.~~L ILi E;0 A I 3 b Dry Chemical, Halon, CO2 (Location: ____ , _____________________ _ D Stand Pipes (Type: -------------------------------0 Fire Alarm (Type/Location: ____________________________ _ ~ 7. Fire Extinguisher Requirements: .. ' -··· -~ne 2A rated ABC·exttnguisher for-each · t-, 0) (,/ sq. ft or portion thereof with a travel distance to the nearest·· extinguisher pot to exceed 75 ~t of travel. D An extinguisher with a minimum rating of ___ to be located: D Other: ___________________________________ _ __ 8. Additional fire hydrant(s) shall be provided---~-------------------- EXITS ~ 9-; Exit doors shall be openable from the inside without the use of a key or any special .knowledge or effort. __ 10. A sign stating, "This door to remain unlocked during business hours" shall be placed above the main exit and doors------------------------------------ __ 11. EXIT signs (6" x ¾" letters) shall be placed over all required exilts and directional signs located as necessary to clearly indicate the location of exit doors. GENERAL __ 12. Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and hazardous chemicals shall comply with Uniform Fire Code. __ 13. Building(s) not approved for high piled combustible stock. Storage in closely packed piles shall not exceed 15 feet in height, 12 feet on pallets or in racks and 6 feet for tires, plastics and some flammable liquids. If high stock pil- ing is to be done, comply with Uniform Fire Code, Article 81. · '{-14. Additional Requirements. ------------------------------ !) 7,2o(J ,Di: 11uP•/ -{i[ A,u L/ /(u )/ ;;:., < 'I ':,. , ..-r /) I I ~y -t::~( 11< ( • ..,..\ ~ / , 1 /1., -I 'J ~--, ...,.. (z\ ~ l/ '-Ot<t: -Y ;-u. tz. n f:<>1 {1/'i_(< cs oA, _) 1 c. A 9/Joo R # /67 __ 15. Comply with regulations on attached sheet(s). c-.. Plan Examiner 0c_ d-~J ?¼ ,...._._....... Date _ __,_J~(),__,./____._:Z_L-11/'--+-/--'-'f-,5,___ __ -;-P+ r , r Report mailed to architect ___ Met with ---,-------------__ Attach to Plans