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Home My WebLink About2202 CHESTNUT AVE; ; CBR2020-2486; PermitBuilding Permit Finaled Residential Permit Print Date: 05/28/2021 Job Address: Permit Type: Parcel#: Valuation: 2202 CHESTNUT AVE, BLDG-Residential 1670703200 $16,650.58 Occupancy Group: #of Dwelling Units: 1 Bedrooms: Bathrooms: Occupant Load: Code Edition: Sprinkled: Project Title: CARLSBAD, CA 92008 Work Class: Track#: Lot#: Project#: Plan#: Construction Type: Orig. Plan Check#: Plan Check#: Description: KULCHAR: CONVERT 358 SF OF EXISTING GARAGE TO ADU Applicant: Property Owner: Second Dwelling Unit WAR RHINO INC ROB LINDSEY KULCHAR JOSEPH RAND MARYAM 2200 CHESTNUT AVE 10089 DIVERSION DR SPRING VALLEY, CA 91977-3115 (760) 212-1149 FEE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) CARLSBAD, CA 92008 ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL GREEN BUILDING STANDARDS PLAN CHECK & INSPECTION MECHANICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $608.15 Total Payments To Date: $608.15 {city of Carlsbad Permit No: CBR2020-2486 Status: Applied: Issued: Finaled Close Out: Inspector: Final Inspection: Balance Due: Closed -Finaled 10/05/2020 02/25/2021 TKers 05/28/2021 AMOUNT $177.05 $123.94 $41.00 $175.00 $39.00 $49.00 $1.00 $2.16 $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 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 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 limitation has previously otherwise expired. Building Division Page 1 of 1 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov Ccicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check Est. Value PC Deposit Date " • ..✓. ~ r C\ '\~ JobAddress ·U"P c.w:.~.-f • u..-bl,.,J. l. Suite: ___ ~APN: _________ _ ' CT/Project #: _________________ Lot #: ____ Year Built: _;l;..'1_,.;..o ______ _ Fire Sprinklers: QvES@ NO Air Condltionlng:Q YES (& NO Electrical Panel Upgrade: QYES~ NO BRIEF DESCRIPTION OF WORK: 0 Addition/New: Living SF,, ____ Deck SF,, ____ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? OY ON New Fireplace? OY ON, if yes how many? __ 129Remodel: 35t, SF of affected area Is the area a conversion or change of use? 0Y ON 0 Pool/Spa:. ____ .SF Additional Gas or Electrical Features? ___________ _ osolar: ___ KW, ___ Modules, Mounted:ORoof OGround, Tilt: 0 YON, RMA: OY ON, Battery:OY ON, Panel Upgrade: OY ON D Reroof: --------------------------------□ Plumbing/Mechanical/Electrical ~ Only: Other: Co""vt'..v-t 3 S"b "i f of -f..:, This permit is to be Issued in the name of the Property Owner as Owner-Builder, licensed contractor or Authorized Agent of the owner or contractor. The person listed as the Applicant below will be the main point of contact throughout the permit process. PROPERTY OWNER APPLICANT O PROPERTY OWNERS AUTHORIZED AGENT APPLICANT 0 Name: .Jo,<:f"-'h ~ "'":1 4 "" t( .. le,i,._... Name:. _________________ _ Address: ?:2:fO C ~,:1..~-N .,4,,c · Address: __________________ _ City: C-hio-< State: C..I.\ Zip: "'!'l-4,i Clty: ________ ---'State:. ___ ,Zlp: ____ _ Phone: ________________ Phone: __________________ _ Email: Email: __________________ _ DESIGN PROFESSIONAL APPLICANT O CONTRACTOR OF RECORD APPLICANT '&'I Name: _________________ Name: L,..4., ,Ot.,~~ 1fr.t. Address: ________________ Address: I vol 'f ('.l1•fN.SJc,..., flv. City: _______ .State: ___ .Zip:.____ Cltv:') f "~ IM~ State: C..11!-Zip: ''(l 'i 17 Phone: Phone: -r~ c.i -~I'). -11':t, 1 Email: Email: v•/u @ .._..., r L,.j, , "'' · CJ,.,, Architect State License: State License/class: IO'il.f1 U 0eus. License:~ :Bl D'S06 gs~ 1 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Buildlng@carlsbadca.gov REV. 08/20 IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING (OPTION A) OR (OPTION B) BELOW: (OPTION A): LICENSED CONTRACTOR DECLARATION: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000/ of Division 3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the following declarations: D1 have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit ls Issued. Policy No .. ________________________________________ _ r;t:l1 have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance i;"y workers' compensation Insurance carrier and policy number are: Insurance Company Name: l•v &.A'-' Policy No. Iv 14-y C. I T"P o 't Expiration ate: 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 $100,000.00, In addition the to the cost of compensation, damages as provided for In Section 3706 of the Labor Code, Interest and attorney's fees. CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name:. ______________________ ,Lender's Address: _____________________ _ CONTRACTOR PRINT: Lv-.~ i(l i.,..., :(:..c. · SIGN:#Y~ DATE: (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's License Law for the following reason: DI, 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 ls 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). DI, 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). DI am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: D•owner Builder acknowledgement and verification form" has been filled out, signed and attached to this application. D Owners "Authorized Agent Form" has been filled out, signed and attached to this application giving the agent authority to obtain the permit on the owner's behalf. By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the appficabfe faw, Section 7044 of the Business and Professions Code, is avaifabfe upon request when this application is submitted or at the following Web site: http://www.leginfo.ca.gov/calaw.html. OWNER PRINT: __________ _ SIGN: __________ DATE: ______ _ APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL By my signature below, I certify that: I am the property owner or State of California Licensed Contractor or authorized to act on the property owner or contractor's behalf. 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. J 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. OSHA: An OSHA permit is required for excavations over 5'0' deep ond demolition or construction of structures over 3 stories in height. APPLICANT PRINT: _;~....;....;~....:..._L..;.;."'.;.;../.t:...;t)-1---SIGN: :-{) • .t ~ ~15 DATE: IV 1 ~ {?,; 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760--602-8558 Email: Building@carlsbadca.gov 2 REV. 08120 PERMIT INSPECTION HISTORY for (CBR2020-2486) Permit Type: BLDG-Residential Application Date: 10105/2020 Owner: COOWNER KULCHAR JOSEPH RAND Work Class: Second Dwelling Unit Status: Closed -Finaled MARYAM Issue Date: 02/25/2021 Subdivision: PARCEL MAP NO 14993 Expiration Date: 10/27/2021 IVR Number: 29127 Address: 2202 CHESTNUT AVE CARLSBAD, CA 92008 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Inspection Date Start Date Status BLDG-17 Interior Lath/Drywall 156338-2021 Passed Tony Alvarado Checklist Item BLDG-Building Deficiency COMMENTS April 29, 2021: (virtual inspection). No Building Drywall/Gypsum board-deficiencies. 1. Drywall type, size, and drywall screw/nailing pattern, and construction installation methods scope of work, per structural engineers details and plan specifications-approved. 05/28/2021 05128/2021 BLDG-Final Inspection 158520-2021 Passed Tim Kersch Friday, May 28, 2021 Checklist Item BLOG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Page 2 of 2 Building Permit Inspection History Finaled {city of Carlsbad PERMIT INSPECTION HISTORY for {CBR2020-2486) Permit Type: BLDG-Residential Application Date: 10/05/2020 Owner: COOWNER KULCHAR JOSEPH RAND MARYAM Work Class: Second Dwelling Unit Issue Date: 02/25/2021 Subdivision: PARCEL MAP NO 14993 Status: Closed -Finaled Expiration Date: 10/27/2021 Address: 2202 CHESTNUT AVE CARLSBAD, CA 92008 IVR Number: 29127 Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspection Date Start Date Status 03/30/2021 03/30/2021 BLDG-21 153771-2021 Passed Tim Kersch Underground/Underflo or Plumbing Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-22 Sewer/Water 153772-2021 Passed Tim Kersch Service Checklist Item COMMENTS Passed BLDG-Building Deficiency Underground Yes 04/15/2021 04/15/2021 BLDG-14 155023-2021 Failed Tim Kersch Reinspection Frame/Steel/Bolting/We !ding (Decks) Checklist Item COMMENTS Passed BLDG-Building Deficiency Requested dry in for rough combo. No 04/20/2021 04/20/2021 BLDG-17 Interior 155387-2021 Passed Tim Kersch Lath/Drywall Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-84 Rough 155386-2021 Passed Tim Kersch Combo(14,24,34,44) Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes BLDG-14 Yes Frame-Steel-Bolting-Welding (Decks) BLDG-24 Rough-Topout Yes BLDG-34 Rough Eleclrical Yes BLDG-44 Yes Rough-Ducts-Dampers 04/30/2021 04/30/2021 BLDG-16 Insulation 156459-2021 Passed Tony Alvarado Checklist Item COMMENTS Passed BLDG-Building Deficiency April 29, 2021: Yes 1. No Building/insulation Deficiencies. 2. Energy compliant type and size of insulation, installed at all celling underneath all habitable living spaces above. 3. Insulation installed at all exterior wall locations-approved. Friday, May 28, 2021 ~------~---· Inspection Complete Complete Incomplete Complete Complete Complete Page 1 of 2 ✓• EsG1I DATE: 2/17/2021 JURISDICTION: Carlsbad PLAN CHECK#.: cbR2020-2486 PROJECT ADDRESS: 2202 Chesnut Ave SET II PROJECT NAME: Partial Garage Conversion to ADU □ APPLICANT □ JURIS. IZ] The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at EsGil until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: IZ] EsGil staff did not advise the applicant that the plan check has been completed. D EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Telephone#: Date contacted: Mail Telephone (b'"lLl Fax ~ Email: 0 REMARKS: By: Richard Moreno. Phone: 858-345-6435 EsGil 1/22/2021 Enclosures: 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 DATE: 10/19/2020 JURISDICTION: Carlsbad ✓• EsG1I A SAFEbuilt Company PLAN CHECK#.: cbR2020-2486 PROJECT ADDRESS: 2202 Chesnut Ave SETI PROJECT NAME: Partial Garage Conversion to ADU □ APPLICANT □ JURIS. D The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's codes. D The plans transmitted herewith will substantially comply with the jurisdiction's codes when minor deficiencies identified below are resolved and checked by building department staff. D 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 until corrected plans are submitted for recheck. D 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: Rob Lindsey D EsGil staff did not advise the applicant that the plan check has been completed. ~ EsGil staff did advise the applicant that the plan check has been completed. Person contacted: Rob Lindsay Telephone#: 760-212-1149 Date contacted: (by: ) Email: rob@warrhinoinc.com Mail Telephone Fax In Person 0 REMARKS: By: Richard Moreno. Phone: 858-345-6435 EsGil 10/6/2020 Enclosures: 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576 Carlsbad cbR2020-2486 10/19/2020 PLAN REVIEW CORRECTION LIST COMMERCIAL PLAN CHECK#.: cbR2020-2486 OCCUPANCY: R-3 TYPE OF CONSTRUCTION: ALLOWABLE FLOOR AREA: SPRINKLERS?: REMARKS: DATE PLANS RECEIVED BY JURISDICTION: DATE INITIAL PLAN REVIEW 858-345-6435 COMPLETED: 10/19/2020 FOREWORD (PLEASE READ): JURISDICTION: Carlsbad USE: ACTUAL AREA: STORIES: HEIGHT: OCCUPANT LOAD: DATE PLANS RECEIVED BY ESGIL CORPORATION: 10/6/2020 PLAN REVIEWER: Richard Moreno. Phone: This plan review is limited to the technical requirements contained in the California version of the International Building Code, Uniform Plumbing Code, Uniform 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 departments. Clearance from those departments may be required prior to the issuance of a building permit. Code sections cited are based on the 2019 CBC, which adopts the 2018 IBC. 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. 105.4 of the 2018 International Building Code, the approval of the plans does not permit the violation of any state, county or city law. To speed up the recheck 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. ··-·--···---------------- Carlsbad cbR2020-2486 10/19/2020 PLANS 1. The following note should be given with each correction list: Please make all corrections, as requested in the correction list. Submit FOUR new complete sets of plans for commercial/industrial projects (THREE sets of plans for residential projects). For expeditious processing, corrected sets can be submitted in 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 and the Carlsbad Planning, Engineering and Fire Departments. 2. Bring TWO corrected set of plans and calculations/reports to EsGil, 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 Departments. NOTE: Plans that are submitted directly to EsGil only will not be reviewed by the City Planning, Engineering and Fire Departments until review by EsGil is complete. 2. All sheets of plans must be signed by the person responsible for their preparation. (California Business and Professions Code). 3. Project address on permit application does not match address on plans. GENERAL RESIDENTIAL REQUIREMENTS 4. There shall be a landing or floor on each side of each exterior door. The width of each landing shall be not less than the door served. Every landing shall have a dimension of not less than 36 inches measured in the direction of travel. The slope at exterior landings shall not exceed ¼ unit vertical in 12 units horizontal (2 percent). Landing shall be not more than 7-3/4 inches below the top of the threshold. R311.3. 5. Provide a note on the plans stating: "Penetrations of fire-resistive walls, floor-- ceilings and roof-ceilings shall be protected as required in CRC Section R302.4." 6. Walls and floors separating units in a duplex shall have a sound transmission class (STC) of not less than 50. Additionally, floors must have an impact insulation class (IIC) rating of not less than 50. CBC Section 1207. Show the location of and provide details of the listed wall and floor/ceiling assemblies and indicate the listing agency and listing number for the tested ratings. Carlsbad cbR2020-2486 10/19/2020 FOUNDATION REQUIREMENTS 7. For garage conversions: CRC Section R506 requires a vapor retarder for all slabs below conditioned space. Please provide verification that a vapor retarder was installed at the time of construction; or demonstrate how slab will be moisture-proofed. Include product manufacturer, method of application, and ICC (or equal) approval. MECHANICAL 8. Show on the plans the.location, type and size (Btu's) of all heating and cooling appliances or systems. 9. Eve.ry dwelling unit shall be provided with heating facilities capable of maintaining a room temperature of 68 degrees F at a location 3 feet above the floor and 2 feet.from exteriorwalls in all habitable rooms. Show basis for compliance. CRC 303.10. ELECTRICAL 10. Show on the plan the amperage of the electrical service, the location of the ser:vice panel and theJocation of any sub-panels. If the service is over 200 amperes,.submit a single line diagram, panel schedules, and provide service load calculations. 11. Note on the plans that receptacle outlet locations will comply with CEC Article 210.52. 12. An ADU may have a separate utility service installed, or sub fed via existing service with adequate capacity. ADU's require electrical load calculations per CEC 220.83 to justify existing electrical service size is adequate. 13. A separate (detached building with a separate foundation and slab) ADU requires a separate ground electrode system per CEC 250.32 PLUMBING 14. Show water heater size (1 st hour rating), type, and location on plans. Note: For both new dwellings and additions the Energy Standards (150.0(n)) requires a gas input rating of 200,000 Btu for both tank and instantaneous gas water heaters. (Also) Provide a gas piping design for the gas system. 15. ADU must have access to either an existing accessible water heating appliance, or its own independent appliance. •• Carlsbad cbR2020-2486 10/19/2020 16. Show the T and P relief valve at the water heater and the discharge pipe size and routing to the exterior. CPC Section 608.3. MISCELLANEOUS 17. To speed up the review process, note on this list (or a copy) where each correction item has been addressed, i.e., plan sheet, note or detail number, calculation page, etc. 18. Please indicate here 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. • Have changes been made to the plans not resulting from this correction list? Please indicate: Yes □ No □ 19. The jurisdiction has contracted with EsGil, located at 9320 Chesapeake Drive, Suite 208, San Diego, California 92123; telephone number of 858/560-1468, to perform the plan review for your project. If you have any questions regarding these plan review items, please contact Richard Moreno. Phone: 858-345-6435 at EsGil. Thank you. Carlsbad cbR2020-2486 10/19/2020 [DO NOT PAY -THIS IS NOT AN INVOICE] VALUATION AND PLAN CHECK FEE JURISDICTION: Carlsbad PLAN CHECK#.: cbR2020-2486 PREPARED BY: Richard Moreno. Phone: 858-345-6435 BUILDING ADDRESS: 2202 Chesnut Ave BUILDING OCCUPANCY: BUILDING PORTION remodel Air Conditioning Fire Sprinkle111 TOTAL VALUE Jurisdiction Code cb 1997 UBC Building Penn~ fee 1·1\r:s1·: 1997 UBC Plan Check fee I Al !~t; AREA (Sq. FL) 358 .. :-J Vaklalion Reg. Multiplier Mod. 46.51 By Ordinance DATE: 10/19/2020 VALUE ($) 16,651 16,651 Type of Re..-: 0 Complete Review D Structural Only 0 Repetitive Fee •' Repeats □ Other □ Hogfy EaOIIFee ,__ __ ___,,Hr. @ • Comments: In addition to the above fee, an additional fee of$ $ /hr.) for the CalGreen review. $114.841 is due ( hour@ Sheet of Ccityof Carlsbad OWNERS AUTHORIZED AGENT FORM B-62 Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov OWNER'S AUTHORIZED AGENT FORM Only a property owner, contractor or their authorized agent may submit plans and applications for building permits. To authorize a third-party agent to sign for a building permit, the owner's third party agent must bring this signed form, which identifies the agent and the owner who s/he is representing, and for what jobs s/he may obtain permits. The form must be completed in its entirety to be accepted by the City for each separate permit application. Note: The fa/lowing Owner's Authorized Agent form is required to be completed by the property owner only when designating on agent to apply for a construct/on permit on his/her behalf. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Property Owner Acknowledgement, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner-Builder Permit for my project. , Scope of Construction Project (or Description of Work): A OU ~., "'"".II;""-~ -f ~ ,e,y.,~"'J v"-"'".f · Project Location or Address: W)., C. b'4-fy,r, -1 Name of Authorized Agent: ( flpk,,..( '\ Tel No. L-,-.4s; Address of Authorized Agent:. __ /~O_u~'9~"i~_~0~1V~<-~Y&f~•;~.,.-~r')~.,.~--------------- "115 7 7 I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. I Property Owner's Signature: J ~ ~ ~ Date: 1 STRUCTURAL CALCULATIONS ,AJ7 HTK STROCTU RAL EN GINEERS, UP DESIGN ASSUMPTIONS: CONCRETE STRENGTH ATTWENlY EIGHT DAVS: ~(_,,L, PSI MASONRY: GRADE "N" CONCRETE BLOCK F' M -= ______ PSI MORTAR: TYPES 1,800 PSI GROUT: 2000PSI REINFORCING STEEL: A-615 STRUCTURAL STEEL: A-36 LUMBER: DOUGLAS FIR-LARCH JOISTS BEAMS AND POSTS STUDS SEISMIC FORCE: __ _ WIND FORCE: DESIGN LOADS: ROOF DEAD LOAD SLOPING FLAT ROOFING PLYWOOD JOISTS INSUL&CLG. MISC. TOTAL= ~ OOFUVELOAD SLOPING= w FLAT= GRADE 40: GRADE 60: #2 #2 #4 AND LESS (U.O.N.) #5 AND LARGER STUD OR BETTER REPORT BY: _ _.C~,"""'f'2c'-~-<;;__-~M....:...=.....J.v,,.__(-=-=--------- REPORT NO.: ______ _ SOIL PRESSURE: l~ FLOOR DEAD LOAD INT. FLOORING PLYWOOD JOISTS INSUL &CLG. MISC. TOTAL= FLOOR LIVE LOAD INTERIOR BALCONY EXIT WALKWAY 40 PSF 60 PSF (U.O.N.) 100 PSF WALL DEAD LOAD INTERIOR EXTERIOR ~F ~F -0 These calculations are limited onlv to the Items Included herein, selected bv the client and do not lmplv approval of any other portion of the structure by this office. These calculations are not valld If altered In any way, or not accompanied by a wet stamp and signature of the Engineer of Record. Job No. Designed By Date 1fJ .. >14. ~ 'ft"t-0 /W lln DI••• 14211 Dar11111an 5traat, Sult■ I no, Poway, CA 92014, (ISi) 171•1111. Paa 11111179-1951 I: 1HTK s=T=R~uCT= URAL ENGINEERS, LLP www.htkse.com b/Rb2 t:\M - L-:: u' u=:-~( 'lt,ft) = 1,2., rfir v~ ~1.6"" W\= llq71 SHEET: PROJECT: DESIGNER: -, ,( I(' 1'2... ,><10 '2.37 -~'h ~ 'f'~ff<I l,A l V< t' C.-• ll S I • .• • , ,,. 1' , 'f-0 ~6\JMt L ()fl.-Wt.VIO ~~ .; '1C ~ --,vt=,-( L t'._, W: 7'17-.f-1(,ll~) ':' 'OflO .,, -. ,. V .,. ,-.,o t.O,-,.,OJ (>c::.e,V>e,.. ~ /::7 • '-I (.. t (-,1. lAl-p =-. 43.;c.,/ frtN t-j{.,&./tiJ ~ I wr tP-/1 <v't?r" -=-Jo~+-J wS-:-~ l~( Pr- W#-~ ¼r /t -= 'ul'f£/tr~'-t..,::t: l's,3' ~ I':°),> 'r> ~ ,, ✓Gl(c_ -- L _______ j l