HomeMy WebLinkAbout2519 VIA NARANJA; ; 83-34-383; PermitII) z 0 ~ <C a: <C ..J 0 Ill 0
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0 I hereby affirm that I am licensed under
provlalona of Chapter 9 {commencing with
Section 7000) of Division 3 of the Business
and Proleaslona Code, and my license is In
lull force and effect.
Lie No ______ Cl,ss
I hereby atflrm th.al I am exempt from lhe Conirac-
tor·s Ltcensa Law lor lhe following re,son (5« 7031 5 Business and Protesst00s Code Any c,ty or county wtuch re-quires a permit to construct, alter. improve, demohsh, or repair any structure, poor to I1s issuance also requires !heap-
rce~~°'p~~~a~t;r;;' 1
1
~
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1~~~-::!c: ~ ltcense. Law (Ch>pte< 9 commenc,ng with s«1,oo 7000 ol
Division 3 ol the Business and Protess10ns Code) or that is ex-empt therefrom and the baSJs tor the a11egeo exemption..,. Any ,
~:1: ~~::~~:\:~3iJV~ ~~~~r~~~~ ~r,:~ ~~~: · I
dred dollars ($500) f
□ I, as owner of the prope~y. or rrr, employees with wages
as their sole compensatton will do lhe work, and the struc-
ture 1s not inlencled or otlered for sale {Sec 7044. Business and Professions. Code The Contractor's License Law dOes not appty 10 an owner of property who bu1kts or 1mp,oves
thereon and who does such work hnnseU or lhrough his own empk)yees, provided th.at such ITTlprOYements are not ,ntend·
ed or ottered fOf sale. If, however, the buitdmg or ,mprove-
"".fJ0I is sold w1thm one year ot comp~llon. the owner•buHder will have the burden ot provmg that he did not build Of Im-prove for Ille purpose of s,le).
D I, as owner ol the property. am exclusrvety conlractmg with licensed conlracto<s to construct !he pro,ect (Sec. 7044,
Business and Pro1essJOns Code: The Contractor's License Law does not appty to an owner of property who builds or im-proves thereon. and who contracts I« each proiec1s with a contractor{s} lk:ense pursuant to the Contractor's license Law).
□ As a homeowne< I am improving rrr, home. and the follow·
ing condIhons exist: 1. The work is being pertormed pno, to s,le
2. I have lived 1n my home lor lwelve months pt"ior to completlOf'I oC lh1s work.
3. I have not claimed lh1s exemption during the last thret years
□ I am exempt under s«. ______ . B& P C
fo, nus reason
0 I hereby alhrm lhat I ha.,e a cert,1,cate of consent
to self•1nsure. or a cert1f1ca1e ol Workers·
Compensa11on Insurance. or a cert,hed copy thereof
(Sec 3800. Labo< Code►
POLICY NO
COMPANY
□ Copy IS hied with lhe c,1·y
0 Certified copy 1s hereby furnished
....
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
(This section nee<J not be como1e1eo ,r the permit
1s tor one hundred dollars {S 1())) 01 less)
0 I certify that in the perfOfmance of lhe *O"" lo,
wh1Ch this permit 1s issued. I shall nol employ any
person in any manner so as 10 become sub1ec1 to
the Wor1'.ers Compensatton Laws ot Galilornia
NOTICE TO APPLICANT If, afler makmJ !his Cer11
hcate of Exemption, you shoufd t>ecome sub1ec1 ,., the WMers· Compensation prov1s,ons ol lhe Labof
Code. you must lorth~l1h compl)' ••lh such
prov1s,ons or 1h1s permit shall be cseemecs revokeo
0 I hereby affirm thal there 1s a construC!tOn
1end1ng agency to, the perlormance or lhe wo~ ro,
which this permit 1s issued 1Sec )097 C1v1I COdel
Lenders Name ___________ _
Lenders Address __________ _
_lJSE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
i CARLSBAD BUILDING DEPARTMENT ~-APPLICATION & PERMIT ---
1200 Elm. Carlsbad, California 92008-1989 (619) 438-5525
J08 ADDRESS AV ST. RO. NEAREST CROSS ST
I
OATE OF APPLICATIONII BUSINESS L.ICENSE # VALUATION PERMIT NUMBER
2519 Via Narania 8-10-83 -,s-;,n,,t-59, 96E 83-34 -
LOT I 8LOCK I su14:2sN I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTOAS PHONE • ZONE i~ 1R1 • . 1~1 '-lll .l-ioo 942-6262 r)WNE R'S NAME I OWNER'S ~HONE The Highland cacpany
1°9'9iA~ill.age~ark way #201 LICENSE NO PLAN 1.0. # BLOG USE CODE The Hirni 1 lllnn i'" • ,. 942-6262 . B-342407 ~ ••J
0\/1/NE R'S MAI c, NG AOORESS 1,'nr.-l n-1 +-... a _ f":a Q?O?ll RES. 1991 Village Park Wey #201, Encinitas CA 92024 DESIGl\jER • . LICENSE q STANDARD PLAN# BUILDING SO. FOOTAGE
-
DESCR1PT•O"' OF WORK En,rl 11 J:£sian C-1798 AIA 1496 s.f. LIV
' . ifflE~~ Park way #201 DESIGNER'S PHONE
----
Net, Calstx'tlcUon ---. ,::,.,.,.,1,...H·A!CI. ~ g,2n24 942-6262
~ ~----------F/P FLRELEV. NO OCCGP EDU 8~1/®U20 50 J?IM 1496 a.f. STORIES 41 ~~-~c
vQ N[J{ R-3 1 ---· ........ -· --
CENSUS TRACT I GP LANO USE I PARKING SPACE I RESUNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR AREA 'zy::f[ 441 s .f . YO ND vQ Ncj{ vO NC Nol Valid Unless Machine Cerlified
QTY. PLUMBING PERMIT· ISSUE 7.50 QTY. MECHANICAL PERMIT· ISSUE 3.00 SUMMARY/ACCOUNT NUMBER
11 EACH FIXTURE TRAP 27 . .so 1 INSTALL FURN. DUCTS UP TO 100.000 BTU 4.00 BUILDING PERMIT 01·00·00·8220 ,j.l,j. uu
1 EACH BUILDING SEWER 6 . .so OVER 100,000 BTU SIGN PERMIT 01 ·00·00·8221
1 EACH WATER HEATER ANO/OR VENT 2 . .so BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00·8806 221.00
1 EACH GAS SYSTEM 1 TO 4 OUTLETS 2 . .so BOILER/COMPRESSOR 3-15 HP -TOTAL PLUMBING 01 ·00·00·8222 46.50
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01·00·00·8223 30 .00
EACH INSTA~ .. ALTER, REPAIR WATER PIPE 3 VENT FAN SINGLE DUCT 6.M MECHANICAL 01·00·00·8224 13.00
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS M0BILEH0ME 01·00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01·00·00-A??~ ~ -
TOTJ;L MECHANICAL 13.00 STRONG MOTION 80·92·33·0519 4 , g
TOTAL PLUMBING I ,1,::; -t;() FIRE SPRINKLERS 01·00·00·8227 . PUBLIC FACILITIES FEE 32·00·00·8933 QTY. ELECTRICAL PERMIT· ISSUE 5,00 QTY. SOLAR • ISSUE
BRIDGE FEE
101 NEW CONST EA AMP'SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
AM] 1 PH 3 PH ')i:; -()() STORAGE TANKS Carlsbad 80·92·21-0519 -
EXIST BLOG EA AMP/SWTJBKR ROCK STORAGE Encinitas 80·92· 22·0519
1 PH 3 PH PUMP San 0ieguito 80·92· 23·0519
REMODEL ALTER PER CIRCUIT PLAN CHECK~ (\ ,l ) San Marcos 80·92· 24·0519
TEMP POLE 200 AMPS / ,J-, -~ 'I
OVER 200 AMPS I .lJnD' ,) / LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS) vv ?,.I'/
. -/ CREDIT DEPOSIT l .lUtl. ,;;,
TOTAL ELECTRICAL I 30.00 ~SOLAR TOTAL FEES PAYABLE I 419.40 .
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" AND 00 HEREBY Exp,ratio,,. Ewrypemilt--bylheBuddlngOff,cialunde<1hepro>1S1on1olth,s * ~N AMIT IS REOU1RED FOR EXCAVATIONS OVER CERTIFY .UNOEA PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code -I expire by hmitat,on and becoma~ulf an ti the burlding or *O•-ANO DE"10UTION OR CONSTRUCTION OF authorlZad by IUCh permll ,. not commenced w 80 yo t1om the d~t• .,, 11 ST.. OVER 3 STORIES 1H HEIGHT DECLARATIONS ARE·TRUE A1110 CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS pe,mi1, o, ,t Iha bulldl~o, wor11 authot by pe,mrf 11 sue or
ISSUED TO OOMPLY WITH ALL CITY COUN1Y AND STATE LAWS GOVERNING BUILDING CON• -.dc>ned al anv bma a the work ,a I oenod ./ ., I
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AN~ ~ ,NfA!r
APPq_ ,'fa)!?;;_ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO APPL T~E W CONTRACTOR 0 ·;,., ·,,.:;..-..
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE '//~ -BY PHONE 0
GRANTING OF THIS PERMIT -./ __-/ T
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TYPE I DATE INSPECTOR -.... --' ... , .. ::-~ -. -· ..I J'-f, =>'+-~ a-3 '· BUILDING I ...... -➔ "--· '·
'
FOUNDATION I [1 .,;\ N:A. ~ FIELD INSPECTION RECORD I
REINFORCED STEEL • I ., V\ v ... IK~
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I REQ. IF INSPECTOR'S GUNITE OR GROUT : INSPECTION CHECKEC APPROVAL DATE
FLOOR & CEILING SUB FRAME I SOILS COMPLIANCE
SHEATHING D ROOF D SHEAR PRIOR TO
FOUNDATION INSP FRAME I 7-~f!jlf ~,/ I
EXTERIOR LA TH I \
STRUCTURAL CONCRETE
OVER 2000 PSI .
INSULATION 1--\A-~~ I \ ./ PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL ' > '2:72-~ -.K I i"'-.-77\ POST TENSIONED
! CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO DIPUCO ' HIGH STRENGTH
BOLTS UNDERGROUND W WASTE ~ WATER GJ.IS.8'3 114--TOP OUT D WASTE D WA;rER 17 -~-d.! JI SPECIAL MASONRY
'.J
TUB AND SHOWER PAN I
I
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR WA TtER
I
I
ELECTRICAL ' D ELECTRIC UNDERGROUND D U)=FER -ROUGH ELECTRIC I f1.-~-~ _, '/} t
D ELECTRIC SERVICE D TEMPORARY -. --D BONDING D POOL I
I
MECHANICAL I -/
D DUCT & PLEM., D REF. PIPIN_~ r7_~ ,QA ~
J J
HEAT -AIR COND. SYSTEMS I ---
~ . ..-~.,/ ;--:', ~, i _·,1,1
VENTILATING SYSTEMS 1
J
j
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE •
ITEMS ABOVE HAVElBEEN APPROVED. /
FINAL J -/.,.L
PLUMBING I .e:>"""~) I -
ELECTRICAL I -~ A~
MECHANICAL I • I~~~ ~ ·~
GAS 1 t P'j, ,~
BUILDING I ,
~-..
SPECIAL CONDITIONS ' -I -
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0 I hereby affirm tha1 I am licensed under
provlalona of Chapter 9 (commencing wl1h
Section 7000) of Division 3 of the Business
and Proleaalons Code, and my license is in
lull force and effect.
Loe No ______ Clm
I
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I llereby allirm 11\al I am exempt lrom lhe Conlrac-1
1 lor's License Law tor the lot1ow1ng reason (Sec 7031 5 &Jsiness and PfofeSS10ns Code Any c,ty 01 county which re-f
~~~~~ ~y~~~~:u~~. c~:~~~~$ 1~
1!~~~r=~eQ=\:·a: I
plttant to, such perrrut 10 hie a s1qned stalement !hat he 1s I ~~e"::1 L:iia~tpl~~ Jh~~~~~:; w~!h I~:C1~I;~~ I
01v1s1on 3 ol the Bus,ness and Professt0ns Code} or thal Is eK• f
:~~.~;~'S:1:' i~1~Stti/:n 1:;=,:~~•:~1 ~! I
Iects the applicant to a cIvII penalty o1 not more than ltve hon· t dred dollars ($500)
D I, as owner of tile prope11y, Of my employees with wages
as !heir sole compensation, will do !he WOfk, and !he srruc-lure Is not Intended or offered for sale (Sec 704.e, Business
and Profess10n~ Code The Contractor's License Law does not apply 10 an owner OI property who bu,kts or improves lhereon and who does such work himself 01" through his own
employees, prOVlded that such improvements are not intend· ed or offered for sale. If, however. !he building or improve-
ment is sold wilhin one year of completion. the owner-builder wrll have the burden ot prov,ng 11\al he did no! build or 1m-p<ove tor Ille purpose of sale).
D I, as owner of !he property, am excluStvely contracting with licensed con1racto,s to construct the project (Sec 7044,
Business and Protessions Code: The Conlracto<'s License Law does not appty to an owner of property who builds or im· proves lheteon, and who contracts IOI' each projects with a
contractor(s) license pursuant to the Contracto(s License Law).
D As a homeowner I am Impr<Wing my home, and the follow-ing conditk>ns exist
1. The w0<k is being pertonned prior to sale.
2. I have lived in my home for twelve months p,JOf" to completion of lhis WOfk. 3. I have not claimed ll'us exempuon during lhe last three years.
D I am exempt under Sec. ______ , B & P.C.
for this reason
0 I hereby affirm lhat I ha,.e a ceri1r.ca1e ol consent to self.insure, or a cert1hca1e of Workers
Compensation Insurance. Of a c.ert,hed copy lhereol
(Sec 3800. Labo< Godel
POLICY NO
COMPANY
0 Copy ,s hied with lhe city
D Cer11lled capy is hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed 1! lhe perm,1
1s tor one hundred dOllars ($100) or tess)
0 I certify that in the per1ormance of the work lo,
•h•ch ttus permit 1s ,ss~. t sn.111 not employ any
person ,n any manner so as to beeome sut>1ect to
lhe Wofi(ers· Con,pensa11on Laws of Calllorn1a
NOTICE TO APPLICANT II. after makin1 this Ce,i1
hcate of E11:empt1on. you should beeome sub1ec1 t?
tile WoO{ers· Compens.ataon p,ov,s,ons ot the Labor
Code. you must tor1t1""1th comply w1lh such
prov,s,ons or 1h1s perm11 shall be deemed ,e..,011.eo
O I hereby aftum 1na1 there ,s a con~1rucl1on
1end109 aoency to, the performance ol the ~ lor
wruch lh1s perm11 1s issued \Sec 3097 C1v11 Codet
Lenders Name ___________ _
Len0e,-s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD ..... APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT ' APPLICATION & PERMIT • I 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS AV ST.RO NEAREST CROSS ST.
1~;pp;;;ONI
BUSINESS LJCENSE # VALUATION PERMIT NUMBER
;'!,!1/'1 VIA IV'ARANJA J.Z.(( 06 LOT BL0CI( I SUBDIVISION I ASSESSOR PARCEL NO CONTRACTOR ...J CONTRACTORS PHONE• ZONE 'i;J~J 7~-2.S ~ /½tf1tAtJv ~-f,µ-t,;z.J,z._ OWNER"S Nf-ME -I OWNE R"S PHONE
!Hi!. /l1(;d1..1WtJ C~. 9'1--2.-L,2..i,e... CONTRACTOR"$ ADDRESS LICENSE NO. 'f PLAN 1.0. # BLOG USE CODE
/ff, /'4s~ Ak'(4 ..>111n! HI ,,_.,f'l.'11 OWNER"S MAILING ADDRESS
/?11 f1~'-A~ f"l1-~i\ k.J.iy ..>LJI T)z° Ml /5,,,,vAktnH DESIGNER -'7'UL'f LICENSE • STANDARD PLAN# BUILDING SO. FOOTAGE
9L,.1:..~ -
DESCRIPTION OF WORI(
DESIGNER"$ AODl!ESS DESIGNE l!"S PtiONE
~~ -L='/t!q"?r_rc. /'f.Jrl"~li... ,,v ~~~-r ,As/!£. -< •· --F/P FLR ELEV. NO 0CC GP EDU STORIES
vO NO ----·l?/fi~/fu~,iPi 15.:: CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
YO N 0 vO NO YO NO Nor Valid Unl~s Machine Certified
QTY. PLUMBING PERMIT· ISSUE 7 £!!. QTY. MECHANICAL PERMIT · ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP , INSTA LL FURN . DUCTS UP TO 100.000 BTU BUILDING PERMIT 01 ·00·00·8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT -01·00·00·8221
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00·8806
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSO R 3-15 HP TOTAL PLUMBING 01 ·00·00·8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00-8223 /S · ---EACH INSTA~ . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00-8224
EACH VACUUM BREAKER MECH EXHAUST -H00OIOUCTS MOBILEHOME 01 ·00·00·8225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01.on-nn.R??~
TOTI.L MECHANICAL STRONG MOTION 80·92·33-0519
TOTAL PLUMBING I FIRE SPRINKLERS 01·00·00-8227
QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00-00-8933 QTY. ELECTRICAL PERMIT · ISSUE S-BRIDGE FEE
NEW CONST EA AMP/SWl BK R COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21·0519
EXIST BLOG EA AMPISWT 'BKR ROCK STORAGE Encinitas 80·92·22-0519
I PH 3 PH PUMP San Oieguito 80·92·23-0519
REMOOEL'ALHR PER CIR..,CULI._ \ PLAN CHECK FEE San Marcos 80-92· 24·0519
( TEMP PO LE 200 AMPS ~ ~ '-I ) /// _,_
OVER 200 AMPS ~-o LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS) /9/,-,1,
CREDIT DEPOSIT
TOTAL ELECTRICAL I /]. ~ TOTAL SOLAR TOTAL FEES PAYABLE I /J-. ----I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY Exp,rallon £wry pennit ......., byllle Building 01'1ctel under lhe prov1sron1 ol 1hrs * AN OSHA PERMIT IS 11EOU1AEO FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code Sllall .,..,... 11V 11-.0,, -become -and VOid If 1118 burld,ng or worl< 5· o·· DEEP ANO OElilOllTION OR CONSTIIUCTION OF DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulllorlZ8d llV IIUCII permit d not commenced witllon 180 days from the date ,>I 1ucl1 STAUCTUAES OVEA 3 STORIES IN HEIGHT permit. or if ltle IIUilcll~o, --.-bV IIUCh permit rs suspended or ISSUED TO COMPLY W1TH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON--ldCMled al eny "-Ille -d -teed for a """Od of II!)_ davs STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT"$ SIGNAT~ ~ :AK
CONTRACTOR 0 APPROVED BY
~-
DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND _A __,,,,,, E
EXPENSES Wf-ilCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THEE~ BY PHONE 0 I J-3-tfy GRANTING Of' THIS PERMIT. .....-___,. _ ;_...---
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME ' SHEATHING □ ROOF □ SH¢AR
FRAME !
EXTERIOR LA TH I I
INSULATION I
INTERIOR LATH & DRYWALL I
I e.
I
PLUMBING I
SEWER AND BUCO □IPUCO I I.•
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN t
GAS TEST I
□ WATER HEATER D SOLAR WATER
I .
ELECTRICAL I
D ELECTRIC UNDERGROUND □:UFFER
ROUGH ELECTRIC !
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
I
MECHANICAL I
□ DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I C'l,
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED.
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
FINAL
SPECIAL CONDITIONS
' --.:-. ... ·...;...~ ~\..::_'i.i:•-:-'-__,:-'-}, !-..( ~4-¥1$"
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE .
' "'-PRIOR TO . -.
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
C.ONCRETE
POST TENSIONED
CONCRETE . .. FIELD WELDING
HIGH STRENGTH \
BOLTS
SPECIAL MASONRY
'
PILES CAISSONS
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