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HomeMy WebLinkAbout2875 LOKER AV EAST; ; CB003610; Permit10/10/2000 City of Carlsbad 1635 Faraday Av Carisbad, CA 92008 Commercial/Industrial Permit Permit No: CB003610 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: Project Title: 2875 LOKER AV EAST CBAD Tl SubType: INDUST 2090831000 Lot#: 0 $90,932.00 Construction Type: NEW 28 Reference #: EXCELUS 2,203 SF OFFICE TO OFFICE Applicant: WARTON LARRY 639 BISON CT EL CAJON CA 92019 619 203-1773 Status: ISSUED Applied: 09/26/2000 Entered By: MDP Plan Approved: 09/29/2000 Issued: 10/10/2000 Inspect Area: Owner: TECHBILT CONSTRUCTION CORP P O BOX 80036 SAN DIEGO CA 92138 0638 iO/10/00 0001 01 02 C-PRMT 900=61 Total Fees: $1,196.25 Total Payments To Date: $295.64 Balance Due: $900.61 Building Permit $581.91 Meter Size $0.00 Add'l Building Permit Fee $0.00 Add'l Reel. Water Con. Fee $0.00 Plan Check $378.24 Meter Fee $0.00 Add'l Plan Check Fee $0.00 SDCWA Fee $0.00 Plan Check Discount $0.00 CFD Payoff Fee $0.00 Strong Motion Fee $19.10 PFF $0.00 Park Fee $0.00 PFF (CFD Fund) $0.00 LFM Fee $0.00 License Tax $0.00 Bridge Fee $0.00 License Tax (CFD Fund) $0.00 BTD #2 Fee $0.00 Traffic Impact Fee $0.00 BTD #3 Fee $0.00 Traffic impact (CFD Fund) $0.00 Renewal Fee $0.00 LFMZ Transportation Fee $0.00 Add'l Renewal Fee $0.00 PLUMBING TOTAL $111.00 Other Building Fee $0.00 ELECTRICAL TOTAL $60.00 Pot. Water Con. Fee $0.00 MECHANICAL TOTAL $46.00 Meter Size Master Drainage Fee: $0.00 Add'l Pot. Water Con. Fee $0.00 Sewer Fee: $0.00 Red. Water Con. Fee $0.00 Redev Parking Fee: $0.00 TOTAL PERMIT FEES $1,196.25 Inspector: FINAL APPROVAL Date 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 lees/exactlons." You have 90 days from the date this pemiit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Govemment Code Sectton 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 foltow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their Imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar applicatton processing or sen/Ice 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 othenwise expired. PERMIT APPLICATIOIM CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO-fe EST. VAL. Plan Ck. Deposit '7^K\^J Validated By Date <j/2 ^ Address (include BIdg/Suite #) Busini in^sJ^ame (at this address) ^ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel Existing Use Proposed Use Description of Work , SQ. FT. / 2. CONTACT PERSON (if different from applicant) #of Stories 2_ # of Bedrooms # of Bathrooms Name 3. APPLICANT d Address City _._ D Contractor Q Agent for Contractor Q Owner -fi^gent for Owner lame ' State/Zip Telephone # Fax tt Name Address City State/Zip Telephone # PROPERTY OWNER Address City State/Zip Telephone # Name 5. CONTRACTOR - COMPANY NAME (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 Ucense 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 exemptl^J^ //:^^^\MoJation of Section 7031.5 by any applicjpt^r a permit subjects the applicant to a civil penalty of not more than five hundred dollar^^5§01) ilicapt for a permit subjects the applicant to a civilpenalty of not more than five hundre Name State Ucense tt Address License Class City State/Zip City Business License # Telephone tf .t j Address City State/Zip Telephone Designer Name State License # 6. WORKERS'COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: n I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. • I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My worker's compensation insurance carrier and policy number are; t^'—if STAI^ P=C'M0 Policy ^l}¥^'tO mTT }$7C tlExpiration Date /-/'Of Insurance Company (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) n 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, aii^..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, damape^s p^ri^d for in Section 3706 of the L^bor code, intere^ and attorney's fees. SIGNATURE vf^^^ ' ^'^^^ y "2^ ~€^ J 7. OWNER-BUILDER DECLARATION ~ {^/^ I hereby affirm that I am exempt from the Contractor's Ucense Law forvth^rollowing reason: n 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 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). r~| 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's License Law). I~l I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. [3 YES l~lNO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): 5. I 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): DATE PROPERTY OWNER SIGNATURE COMPLETE THIS SECTION FOR NON RESIDENTIAL BUILDING PERMITS ONLY 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 ,^ct? O YES CH NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES CD NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? CD YES Q 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. a. CONSTRUCTION LENDING AGENCY 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 9. APPLICANT CERTIFICATION I certify that I have read the application and state tiiat 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 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 building or work authorized by such permit is not commenced 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 106.4.4 Uniform BuiJdiQg'Code). WHITE: File YELU APPLICANT'S SIGNATURE PINK: Finance Cily If Carfsbad final Building Inspacden Dept: Building Engineering Planning CMWD St Lite Rf«« Plan Check #: Date: 01/25/2001 Permit #: CB003610 Permit Type: Tl Project Name: EXCELUS SubType: INDUST 2,203 SF OFFICE TO OFFICE Address: 2875 LOKER AV EAST Lot: 0 Contact Person: ED Phone: 7608016247 Sewer Dist: CA Water Dist: CA Inspected By:_ Inspected By: Inspected By: Date Inspected: Date Inspected: Date Inspected: Approved: Approved: Approved: Disapproved: Disapproved: Disapproved: Comments: City of Carlsbad Bldg Inspection Request For: 02/12/2001 Permit# CB003610 Title: EXCELUS Description: 2,203 SF OFFICE TO OFFICE Inspector Assignment: TP SubType: iNDUST 2875 LOKER AV EAST Lot 0 Type: Ti Job Address: Suite: Location: APPLICANT WARTON UVRRY Owner: TECHBILT CONSTRUCTION CORP Remarks: Phone: 7608016249 Inspector: Total Time: Requested By: JOHN Entered By: ROBIN CD Description Act Comments 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final lUlechanicai 1 29 Final Plumbing 39 Final Electrical 49 Final lUlechanicai 29 Final Plumbing 39 Final Electrical 49 Final lUlechanicai 1 Associated PCRs Inspection History Date Description Act Insp Comments 02/02/2001 89 Final Combo CO TP HANDRAIL (g STAIRS 01/26/2001 89 Final Combo CO TP SEE JOB CARD 01/26/2001 89 Final Combo NS TP 01/22/2001 14 Frame/Steel/BoltingA/VeldIng AP TP T-BAR CEIL 01/22/2001 24 Rough/Topout WC TP 01/22/2001 34 Rough Electric AP TP CEIL LITES 01/22/2001 44 Rough/Ducts/Dampers AP TP DUCTS @ CEIL GRID AREA ONLY 01/19/2001 84 Rough Combo NS TP 01/18/2001 84 Rough Combo CA TP 01/17/2001 14 Frame/Steel/Bolting/Welding NR TP CEIL CORR NOT COMP. 01/17/2001 24 Rough/Topout WC TP 01/17/2001 34 Rough Electric WC TP 01/17/2001 44 Rough/Ducts/Dampers WC TP 01/16/2001 84 Rough Combo NR TP 01/12/2001 14 Frame/Steel/Boltlng/Welding CO TP CEIL SAME CORR. 01/12/2001 34 Rough Electric CO TP City of Carlsbad Bldg Inspection Request For: 01/19/2001 Permit# CB003610 Title: EXCELUS Description: 2,203 SF OFFICE TO OFFICE Inspector Assignment: TP Type:Tl SubType: INDUST Job Address: 2875 LOKER AV EAST Suite: Lot 0 Location: APPLICANT WARTON LARRY Owner: TECHBILT CONSTRUCTION CORP Remarks: CEiLiNG INSPECTION Phone: 7608016249 Inspector: Total Time: 24 34 44 Requested By: DAVE Entered By: CHRISTINE CD Description Act Comments 14 Frame/Steel/Boiting/Welding Rough/Topout Rough Electric (^^/(^ f./'ft^— Rough/Ducts/Dampers ^ /?UC^ ^ OS^<^^ji.lO fiAA^ C^t^l^ Associated PCRs Inspection History Date Description 01/17/2001 14 Frame/Steel/Boltlng/Welding 01/17/2001 24 Rough/Topout 01/17/2001 34 Rough Electric 01/17/2001 44 Rough/Ducts/Dampers 01/16/2001 84 Rough Combo 01/12/2001 14 Frame/Steel/Bolting/Welding 01/12/2001 34 Rough Electric 01/12/2001 44 Rough/Ducts/Dampers 01/11/2001 14 Frame/Steel/Boltlng/Welding 01/11/2001 24 Rough/Topout 01/11/2001 34 Rough Electric 01/11/2001 44 Rough/Ducts/Dampers 12/21/2000 17 Interior Lath/Drywall 12/19/2000 14 Frame/Steel/Boltlng/Welding 12/19/2000 34 Rough Electric 12/18/2000 14 Frame/Steel/Bolting/Welding Act Insp Comments NR TP CEIL CORR NOT COMP. wc TP wc TP wc TP NR TP CO TP CEIL SAME CORR. CO TP CO TP CO TP T-BAR CEIL SEE JOB CARD wc TP CO TP CEIL LITE WIRES CO TP DUCTS NOT PER PLN AP TP AP TP 2ND FLR MEZ WALLS AP TP CA TP City of Carlsbad Bldg Inspection Request For: 12/21/2000 Permit# CB003610 Title: EXCELUS Description: 2,203 SF OFFICE TO OFFICE Inspector Assignment: TP 2875 LOKER AV EAST Lot 0 Type:Ti SubType: INDUST Job Address: Suite: Location: APPLICANT WARTON LARRY Owner: TECHBILT CONSTRUCTION CORP Remarks: Phone: 7608016247 Inspector Total Time: Requested By: ED FRANCO Entered By: CHRISTINE CD Description 17 interior Lath/Drywall Act Comments ^ Associated PCRs Inspection History Date Description Act Insp Comments 12/19/2000 14 Frame/Steel/Boltlng/Welding AP TP 2ND FLR MEZ WALLS 12/19/2000 34 Rough Electric AP TP 12/18/2000 14 Frame/Steel/BoltingA/Velding CA TP 12/18/2000 34 Rough Electric CA TP 12/15/2000 14 Frame/Steel/Bolting/Welding CO TP 12/15/2000 34 Rough Electric CO TP BX CABLE USED 12/13/2000 14 Frame/Steel/Bolting/Welding NR TP INSP. LOC. ? 12/13/2000 34 Rough Electric NR TP 12/12/2000 84 Rough Combo NR TP 12/5/2000 14 Frame/Steel/Bolting/Welding AP PD 12/5/2000 34 Rough Elecbic AP PD 12/4/2000 13 Shear Panels/HD's PA PD SEE NOTICE ATTACHED 12/4/2000 66 Grout AP PD COLUMN BASES 12/4/2000 84 Rough Combo PA PD SEE NOTICE 12/1/2000 84 Rough Combo CA ~ RESET FOR MONDAY 11/30/2000 14 Frame/Steel/BoltingA/Velding CO RB WORK COVERED W/OUT INSP 11/30/2000 24 Rough/Topout CO 34 SEE ATTACHED NOTICE 11/30/2000 24 Rough/Topout NR RB 11/16/2000 11 Ftg/Foundation/Piers AP TP FTNS SPEC 3000 PSI CONC. 11/16/2000 12 Steel/Bond Beam AP TP 11/16/2000 12 Steel/Bond Beam AP TP SLAB PREP (g PLUMB 11/14/2000 21 Underground/Under Floor AP TP EsGil Corporation In ^artnersHip vfitli Qovemmentfor (Building Safety DATE: 9/29/00 •^EEUG^T JURIS. JURISDICTION: Carlsbad • PLAN REVIEWER • FILE PLAN CHECK NO.: 00-3610 SET: I PROJECT ADDRESS: 2875 Locker Ave. PROJECT NAME: Excelsus Office TI Addition B The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. I I The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. I I The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. Q The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. I I The applicant's copy of the check list is enclosed for the jurisdiction to fonward to the applicant contact person. I The applicant's copy of the check list has been sent to: Larry Wharton 639 Bison Ct, El Cajon, CA 92019 I I Esgil Corporation staff did not advise the applicant that the plan check has been completed. B Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Jorge Telephone #: appt. Date contacted: 9/29/00 (by: kc) Fax #: Mail Telephone Fax in Person ^ REMARKS: Plans hand-carried by applicant. By: Mark Beauchamp Enclosures: Esgil Corporation • GA • MB • EJ • PC 9/27/00 tmsmtl.dot 9320 Chesapeake Drive, Suite 208 • San Diego, California 92123 • (858)560-1468 • Fax (858) 560-1576 Cail^ba^ 00-3610 9/29/00 VALUATION AND PLAN CHECK FEE : ; UURfS^^ PLAN CHECK NO.: 00-3610 V PREPARED BY: Mark Beauehanip DATE: 9/29/00 ^^^^^^^^^ : BUIL^ OCQUPANCY: B TYPE OF CONSTRUCTION: V-N s HanChedcFMbyOrJnanoe • TyperfRevleiw: CompMe Review • StruouralOnly • other • Hourty Esgil Plan R«vl«w FM BUHOiNd PORTION AREA :(S<|.Ft.) vaiuaaon Multiplier Reg. Mod. VALUE ($) OifioeTJ 1407 28.00 39.386 NewMezzihIne 795 60.00 47,700 • AirCondi^ohlng Fire Sprinklers 2131 1.80 3,836 TOTALVALUE 90,932 Udig-pmitfeibifOntntrw • 581.70 378.11 302;48 She^l Of 1 iMiMalu&doe' 30-d 8£:3T 00. 6Z daS aiST0998S8T:xej 1I9S3 PLANNING/ENGINEERING APPROVALS PERIMIT NUMBER CB DATE \0 la \o6 ADDRESS Q^^75 Lo^Ccr (^\/rouc RESIDENTIAL RESIDENTIAL ADDITION MINOR (< $10,000.00) PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER 0'£'CycC "Vo 0-^^ t. C < PLANNER ENGINEER DATE Mi oo DATE Docs/Mlsforms/Planning Engineering Approvals Carlsbad Fire Department 003610 1635 Faraday Ave. Carlsbad, CA 92008 Plan Review Requirements Category: Date of Report: 09/28/2000 Fire Prevention (760) 602-4660 Building Plan Reviewed by: Name: Address: City, State: Plan Checker: Job Name: Excelsus Job Address: 2875 Loker Ave., East LARRY WHARTON 639 BISON CT EL CAJON CA 92019 Job #: 003610 Bldg #: CB003610 ste. or Bldg. No. Approved The item you have submitted for review has been approved. The approval is based 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. • Approved Subject to The item you have submitted for review has been approved subject to the 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. • Incomplete The item you have submitted 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 FD Job # 1st 2nd 3rd Other Agency ID 003610 FD File # yHALS/K, ENGINEERS, INC. STRUCTURAL ENGINEERS 8380 MIRAMAR MALL, SUITE 225 • SAN DIEGO, CALIFORNIA 921 21 858/453-7339 • FAX 858/453-7445 STRUCTURAL CALCULATIONS FOR EXCELSUS TECHNOLOGIES NEW MEZZANINE ADDITION 2875 LOKER AVE. EAST CARLSBAD, CA 92008 CLIENT: ARCH CAD PROJECTNO.: 3193.3 MEMBER OF STRUCTURAL ENGINEERS ASSOCIATION OF CALIFORN MALEK ENGINEERS, INC. SAN DIEGO, CA. JOB NO. SHEET NO. / OF 7 MALEK ENGINEERS, INC. SAN DIEGO, CA. BY: DATE: 5/^^ ^UBJECT: K>IJC-- t^^-^ ^^72- ^ l^t r?^.' \^S0^ f437 1^ 5 > Z^t i\>' 1-5 4? ^1 MALEK ENGINEERS, INC. SAN DIEGO, CA. JOB NO. SHEET NO. Z OF MALEK ENGINEERS, INC. SAN DIEGO, CA. BY-DATE: ^JffiT SUBJECT: $>Cf^J- Zr)' ii a o \* v 5 3 a w I: la • «9 I • I P» I rt is I . I .* I CO I I t m I a I f« I I ) u rt o <n O r. 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Ui u! Ui IT uj -JO 1 U. 1_ 10 T3 6 p« ift Ui tf) Ifl 0 ID "0 Ui (0 Ifl eg) ID iflS 2 MALEK ENGINEERS, INC. SAN DIEGO, CA. JOB NO. SHEET NO. OF MALEK ENGINEERS, INC. SAN DIEGO, CA. BY: DATE: ^/^^ JBJECT: u/' 2b-i- l<? 2 _ Z,0 Cmr lj Sa(/ru j/V»>rQ^ *Aco '-^-^ ^^^^ ^ i n til! * 23' MALEK ENGINEERS, INC. SAN DIEGO, CA. JOB NO. SHEET NO. OF MALEK ENGINEERS, INC. SAN DIEGO, CA. BY: fl^h DATE: s/aef SUBJECT: \/- ^ ^ 'Zt' < 17 ' my S- Zi2>^j2l'. HI K 14'-, h^>.HtL ^1<7^ lil^ /S^-IJt MALEK ENGINEERS, INC. SAN DIEGO, CA. JOB NO. SHEET NO. 7 OF 7 MALEK ENGINEERS, INC. SAN DIEGO, CA. BY: ^ h DATE: ^/^, SUBJECT: iJips x^ir 7h>7C^ 3~if^S ^ Tbr t//saTT^r-, ill 0 f\ Ztl-7 J5 ^ 3^^' »7 CARl SCHMIDT REGBTERED SPECIAL INSPECTOR P, O. Box 178403 Son Diego. CA 92177-8403 Ptxxie (619) 855-9252 SPECIAL INSPECTION REPORT PROJECT; £y^CeLS ^ / JOB START: 7 •'^ <^ ADDRESS: Z^l S" Cd/(-tr ct<^^ JOB STOP: CITY: Co^h ^'^ cf PERMIT #: (L£O0 3<>/O PLAN FILE #: TYPE OF OBSERVATIONS: MASONRY REINFORCED CONCRETE FIELD WELDING_ EPOXY JJ: PRESTRESSED CONCRETE SHOP WELDING BOLTING REINFORCING STEEL FIREPROOFING SAMPLES; NUMBER: TYPE: MdterialsOesignMixNumbers/PSI: /I-30 >y Ji^ja^ S^T c i^O J~ "Z-7^ Inspection Dote: /2^'2-~^-'O0 REPORT Ceases. /-Q- ^^j-er--^ ji^sji>^i^rr~^ d ^ T / o , WORK INSPECItD CONFORMS WITH APPROVK) PLANS AND SPECI-fCATIUNS UNLESS OTHERWISE N< Project Billing Infornnatbn: ^ t Nome Certification# Qd^^'l-^ (^'d^sTr Phone: ( ) Fax;( ) Signature of Special Inspector I t/> r- H to m o a NJ X CD ^ S28 m S m r; 2 o 1— > o o Tl T] o m -4 cn I-o 3; m $ m > M o g o > d ?° r; O > ^3 Si a> -0 n CO I ii I 39 3