HomeMy WebLinkAbout1009 GRAND AVE; MULTI-PERMIT FILE; 67-10147; PermitCITY OF CARL MD
BUILDING DEPAR ENT
729-1181 -Ext. 36
For Applicant to Fill In /
ApplkaSn for BUILDING Permit
Building Permit Fee
7 CI—V67
Owners Name
Mail Address ==Z Building Dept. Use Only
/zO c1
Building Address
Contractor
e k St. Near
Contr. Address
To Const. 0 To Add To Alter 0 Convert 0 Set Back Bldg. Valuation
________________________________________________ To Move From Front P.L. Main Bldg.
Side P.L. Garage
Type of Const. __________________
Frame Masonry, etc. Rear P.L. Other
Group Zone Approved
To Be Used For ________________
Kind of Foundation______________ No. of Stories _/
Contractor City Bus. Lic. No.
Floor Space (Sq. Ft.) Water Meter I Sewage Disposal System __________ Attached_________________ -------—'
Garage Floor Space (Sq. Ft.)
Detached ________________________
Inspection Record
Legal Description
Lot Block
Subdivision ___________________________________________ or
Section Township Range
No. of Existing Building
Wit this conrç,jon include any plumbing installation or alter-
ation? Yes
st
No D
Signature of Applicant
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY AND STATE LAWS REGULATING BUILDING. . Utility Company Notified - Date-
Final
By-
CERTIFY CERTIFY THAT I AM PROPERLY REGISTERED AN
LICENSED AS REQUIRED BY CITY OF CARLSBAD AND
STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER Ii a check is tendered for payment for the above fee and the OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY, check is not honored when presented for payment, your
SIGNATURE building permit v,il! be immediately revoked.
OF PERMITTEE City of Carlsbad Building Dept.
Permit void if work is not commenced within 60 days of issuance.
CITY OF CARI3BAD.
BUILDING DEPARTMENT
*"-w
PERMIT - APPLICATION
P -567 !cc o 895******10.00
MAIL
ADOR
ADDRESS
CITY io-S' TEL. NO.
STATE CARLSBAD BUSINESS LICENSE NO. LICENSE NO.
NO. ITEM FEE
/ TOILET @ $1.25
BATH TUB @ 1.25
/ SHOWER @ 1.25
WASH BASIN @ 1.25 —/-
/ KITCHEN SINK @ 1.25 _.L 4..
DISHWASHER @ 1.25
LAUNDRY TUB OR TRAY @ 1.25
AUTOMATIC WASHER @ 1.25
/ WATER HEATER & VENT @ 1.50 _....L. GAS SYSTEM I To IS .30 EA. ADD., @ 1.50.
FLOOR DRAIN OR SINK @ 1.25
LAWN SPRINKLER @ 2.00
MISC. WATER PIPING @ 1.50
GARBAGE DISPOSAL @ 1.00
VACUUM BREAKER OR BACK FLOW DEVICES I TO 5 @ 2.00
GRADING PLAN
YESO NOD
PERMIT $ 2 00
TOTAL FEE $
( I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I AM PROPERLY REGISTERFfl AND LI.
CENSED AS REQUIRED BY THE CITY E...efltBAD AND STATE OF CALIFOR TH OF THE ABOVE 0
SIGNATURE OF PERM ITTEE
BUILDING ADDRESS JOOQ
NEAREST ,4 CROSS ST. (
ZONE - GROUP
lnsDection Record
APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER FLOOR WORK
ROUGH PLUMBING
GAS PIPING
GAS VENTS
PLUMBING FIXTURES
MISC.
GAS TEST
UTILITY CO. NOTIFIED
FINAL
VALIDATION
This is a Plumbing Permit When Properly Filled Out, Signed and Validated.
Permit void if work is not commenced within 60 days of date of issuance.
Total Construction Cost
10% Service Charge . / / '50
Total Lateral Charge
Lat. No.: Loqged in Plat:
LINE COST DATA
A. D. & Assmt. No.
LINE C01.T:
C. C. @50 / dwelling
P. S. @ / dwelling -
OTHER
TOTAL -
IS— Grand Total, Lateral, etc. .
FOR SEWER LOCATION
L
,- St. /) NORTH
SEWER DEPT.
CITY OF CARLSBAD
BUILDING DEPARTMENT
/ô/O
SEWER
PERMIT - APPLICATION
PAID SEP 5-61 896*******5.00
FOR APPLICANT TO FILL IN
LEGAL
DESCRIPTION LOT NO. BUILDING
ADDRESS /oo .9 VE.
NEAREST BLOCK TRACT CROSS ST. ,44,oE ,8 97** USE OF (}1AA2L BUILDINGS OWNER .I/ SIP 26yj/I4*iT 898* *** * MAIL CONTRACTOR ADDRESS 48/7 . G'IZAPE 7
ADDRESS CITYRCO E,vJ44 TEL. NO.
NO DESCRIPTION OF WORK FEE
HOUSE SEWER CONNECTING TO
PUBLIC SEWER @ $3.00 3 SEPTIC TANK, SEEPAGE PIT OR
PITS @ $5.00
OVERFLOW SEEPAGE PIT, DRAINFIELD EXTN.,
CESSPOOL, DRYWELL. MANHOLE @ $5.00
HOUSE SEWER CONNECTING TO PRIVATE DISPOSAL SYSTEM @ $1.50
CONNECT ADDITIONAL BLDG. OR
WORK TO HOUSE SEWER @ $1.50
ALTER, REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ $2.00
-
OWNERS
AUTHORIZATION
PERMIT $ 2 00
TOTAL FEE ... 60
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN
CONTRACTOR TO CONNECT THE ABOVE DESCRIBED BUILD.
ING TO THE PUBLIC SEWER.
SIGNED THIS DAY OF
OWNER OR
OWNER'S AGENT -
ADDRESS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND
STATE LAWS REGULATING PLUMBING AND SEWERS.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY THE CITY OF CARLS-BAD AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL
OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROP-
ERTY.
SIGNATURE
OF PERMITTEE
This is a Sew!r Permit When Properly Filled Out, Signed and Validated
Issued By
PERMIT VALIDATION
CITY TEL. NO. CONNECTION DATA
CONTRACTOR'S STATE CARLSBAD BUSINESS Lateral Charge Computation LICENSE NO. LICENSE NO.
30'H., 10'V. @ 4" = _____ 6" =
Add. Horiz. @ 4" = _____ 6" =
Add. Vert. @ 4" = ______ 6" =
Pct. 1 of 3
CITY OF CARLSBAD
HOUSING INSPECTION PFCOPD
0JNERo6E/ : /Jorn(P3 O lki. INSPECTION DATE:_________
ADDRESS:. . . . . PHONE: .
INSPECTION ADDRESS: - •ND ..AV. :Assessor's
TENANT': ... . . . . .. PHONE .
'LIGHT, VENTILATION, ELECTRICPJ ... .
: .
. .Fixt. Pluci Room Size Area Pea. L.V. . ExIst.L.V.
KITCHEN •... ... _.. 7_x /2 ' _I_. /
LIVING ROOM
DINING ROOM
BEDROOM #1 ... x 14"
BEDROOM 92 . .. X . . . . . ..
BEDROOM 43 . . x
BEDROOM #4 . . . .• . . .. .. . . ... 1
BATHROOM #1 . .. . X 3's
BATHROOM #2
OTHER .
.
. .
,. .
. x
3sa. It. rn.
OUTSIDE N i . '. x
HEAT
KIND SIZE VENTED ADEQUATE --------
:SHUT_OFF VAtJVE. .. GAS INLET.SIZE .--------. CONDITION -
RANGE :
I GAS INLET SIZE_____SHUT-OFF VALVE j/16S _______VENTED
FLEX CONNECTOR LENGTH 4-.- CONDITION _____o
PLUt4BING fio
PUBLIC SEWER ______SEPTIC TANK _____________KIT'S INKPO ______________
;WASHER: W. C. . SHOWER: yo, TUB
LAy-_____________
ELECTRICAL
MAIN SERVICE /óo -,. _S_/4,A,f/AMP' MAIN DISCONi'TECT o j -
W.P BOX ____WIRE SIZE-NO
GROUND:_NO OF CIRCUITS
RISER SIZE / HT. OF WEATHERPEA,D /_/___________OPEN SPLICES'EJ
HOUSING INSPECTION 'RECORD
EOUNAT ION
KIND )</'o (/--- PIERS x at cc GIRDERS x at cc
JOIST: x at oc SLAB: . AIR VENTS:
ROOF: 4
TYPE- ___/a __s4 ______________ PFTE R SIZE x at 4 c
SPAN- CONDITION
CEILING:
rat JOIST SIZE x cc SPAN V U HEIGHT
CONDITION
EXTERIOR WALLS
TYPE EXT 100/ FINISH: os 00.
EAVES- ____
r FACIA ft p CONDITION
WATE P HEATER tlow,C('
SIZE 0 LOCATION o GAS INLET_______________
.SHUT-OFF VALVE VENTED / P BE S S tE BE L. VALVE
Connector Length 7 /
GARAGE
ATTACHED DETACHED RAFTER SIZE'' k at oc FIRE DOOR
'CLOSER STUDE SIZE x at oc ELECT. VENTS____________
VENTS________________
ACCESSORYBUILDINGS
PMTERSIZE ___x _at: oc . STUD SIZE :x *at cc VENTS
:TM
. .;.
xsc. 0 . .. .
.: 0•
I -
5400 ap
O3?7 3//7j TI
PLUMBING PERMIT APPLICATION
uIy. OTLJU1LbbRU, LALIt-UKNIA 92005
Applicant to complete numbered spaces only. Phone 729-1181 Permit No. 7
JOB ADOR ESS
LEGAL 1 DESCR.
LOT NO. BLI( TRACT
OWNER MAIL ADDRESS - ZIP PHONE 2 - -/oc çt tti 7?
CONTRACTOR - MAIL ADDRESS
11 t-r2 (o ç' 7
PHONE STATE LIC. NO. CITY LIC. NO.
9/°3I '~3O
ARCHITECT OR DESIGNER MAIL ADDRESS
4
PHONE LICENSE NO.
ENGINEER MAIL ADDRESS
5
PHONE LICENSE NO.
COMPENSATION fNS. C RRI ER MAIL ADDRESS
6
BRANCH -
USE OF BUILDING
. 7
8 Class of work: 0 NEW 0 ADDITION Li ALTERATION 'REPAIR
S Describe work: 0 4i
PERMIT FEES
of Fixture or Item Fee
SPECIAL CONDITIONS:
F
No.Type
WATER CLOSET (TOILET) 5
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY.
DATE
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF
CONSTRUCTION OR WORKIS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. -
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
URINAL -
DRINKING FOUNTAIN
F LOO R DRAIN R—SINK -
-
SLOP SINK
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
GAS SYSTEMS: NO. OUTLETS 3
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER PIPING & TREATING EQUIP.
WASTE INTERCEPTOR
- VACUUM BREAKERS
-
LAWN SPRINKLER SYSTEM
-
- -
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
'IGRATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
ISSUANCE FEE ,.-.. . $ . ..
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) - - . TOTAL FEES, . ... $
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I PLAN C-thCI( VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. • CASH
INSPECTOR
S
INSPECTION. REPORTS_-.
-
DATE ITEM REMARKS
-
INSPECTOR
'
r
-
:: USESA 4
7 J7 Di3• ••1I•1 T'
T
ROTO
I. J I / H7A Por1 • I •-i I .
• - ' ZLJ/t4A'i J - ----—---e------j--------- _J — - --
-. -, —h
I -•- ------------i( --•" '- - - - -S-- - ---- latlu — - / T3L' t IA £'s8'UJq QOF: flA •Fl-.TAtV
Q11AqLJ
S iauc '-'or
- c0 •
o iccw 0 - <f '3 L VAtvU 0 •. - • LW ij- RJA w03 0 0 TTrZko, 0
JAfli -
I VP -
ro VA3
-
- - - -
1c•__- -
-
'- -.
41
-,—. *.,. -v• D:e'Wanfrni ttiri-iicensed under
provisionsof Chapter9 (commencing with,
Sectfon7000) of DivlsIon3 -of ,the Business
UandProfessions Code, an'd'my license is in
- (till force and effect, , -
L Lie. No. __________,.2_ Class -o — 'C)
lherebyaftirtn that tar-n 6xiamlif trorthiCon-
tractors License Law for the following reason (Sec.
,70315 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 tile a signed statement that he is
licensed pursuant to the proisions.ot the Con-
tractor's License Law (Chapter 9,commencing vith
Section 7000 of Division 3 of the Business and Pro-
' lessions Code) or that is exempt therefrom and the basis for the alleged'exemption.Any violation of '
- .. .t 'Section 7031.5 by an applicant for a permit subjects -' - - me applicant to a civil penalty of not more than live -1
v hundred dollars (S500).'
- 0 1'as owne7of the property, or my employ
5 .._ *ith wages as their sole compensation, will do the
• work, and the structure is not intended or offered for
-. sale (Sec. 7044, Business and Protessiohs Code:
-w •#- The Contractors License Lavi does not apply to an
Z owner of property who builds or, improves thereon 3 - 'andwhodoessuchwortchimseltorthroughhisown
* sx 0 employees, provided that such improvements are
not intended or otferedfor sate. It.however, the building or improvement Is sold within one year of
,, . -completion, the owner-builder will have the burden
-of proving that )re did not build or improve for the I purpose of saId)....' .
-, Ot as ownerot the property, am exclusively
- contracting with licensed contractors to construct - - the project (Sec.,7044, Business and Professions
Code: TheContractor's License Law does not apply
;to an owner of property who builds or'improves thereOn, and who Contracts for each projects with a
- contractor(s) license pursuant to the, Contractors 0 License Law(.
vjcot.,- • k
.._,,0tam exempt undérSec. - _,B.&P.C. •. --
- for this reasor 8 •a -
Eld
-
hereby affirm that I have a certificate Of consent
r-( y 5 to ,self-insure or a certificate of Workers'
- Compensation Insurance, or a certified copy tnereot
ISeC. 3800, Labor Codel;,
- z - POLICY, NO.
¶70 ' - kCOMPANY
Copy is filed with the city.. ,-. - , z --- - UI *ja Cerlitied'copy is hereby turnished.
iL
Ji t.vu,. ¶.a. 5 - .i.'vr* .
._3 _ , CERTIFICATE OF EXEMPTION FROM - F . h • t- 'WORKERS' COMPENSATION INSURANCE - - - . (this section need not be Completed it the permit - is for one hundred dollars )$100( or less) LU
SCr 0 t certify that in the performance of the work for 4 which this permit is issued: I shalt not employ any 3 in any manner so as to become Subject to
.' the Workers Compensation Laws of California. - v' .t • ti r-- NOTICE TO APPLICANT: If, after makin7.tnis Certi- 'r' 4ficate of Exemption, you should become subject to
•the Workers' Compensation provisions-of the Labor
- - Code, - yOu_muSt- torthwilhr- comply. with., Such .. -
provisions or this permit Shall be deemed revoked..
hereby affirm that there is a,conslructiov -
I lending agency for the performance of the work for
which this permit is issued Sec 3097, Civil CodeI
- - -v-a; - -
I - Lender's Name - -
- ,./.-/r-_
L Lenders Address -
USE BALL POINT PEN ONLY & PRESS HARD -. APPLICANT TAâLL IN INFORMATION WITHINSHADED AREA AND DECLARATIONS.
— . - . -
•- CARLSBAUILDING DEPARTMENT, .. -- APTICAfIoN & PERMIT '-• - -*. - — -- 1200 Elm, Carlsbad, California 92008 (714) 438-5525 - - • .
JOB ADDRESS - AV. ST, DATE OF APPLICATION BUSINESS LICENSE # VALUATION 'PERMIT NUMBER
/00 fA49 -
"p ----- OWNERS N E - - - - - OWNERS PHONE PRIME CONTRACTOR . CONTRACTORS PHONEN 2 ZONE .
NER'S MAI
I
G ADD B CONTRACTORS ADDRESS LICENSE NO. PLAN I.D. # - BLDG USE CODE -
LOT BLOCK SUB VISION
- J
ASSESdbR PARCEL NO, DESIGNER • STATE LICENSE # STANDARD PLAN # • BUILDING SO. FOOTAGE
SC IPTION OF WORK
DESIGNER'S ADDRESS _______________________________________________________
:::t::ts1n1.:E
ED 2/i/8f37f Io 0.
- -
x.
,
- .
-
-
CENSUS TRACT GP LAND USE SPACE UNITS / -$iDING PERMIT ISSUED
-- 'r-o o .L____- STORIES
REDEVELOPMENT - TYPE 0CC LOAD FIRE SPR
- -
J..PARKING IJj • AREA 'r- ' a" CONST -
- - ,
- f - D- ND - vO rD • - , - YO NO - Not Valid Unless Machine Certified
QTY PLUMBING PERMIT ISSUE QTY MECHANICAL7 PERMIT 1 ISSUE SUM MARY/ACCOUNTtNUMBER
. EACH FIXTURE TRAP - ' - . INSTALL FURN. DUCTS UP TO 100,000 BTU . - ' BUILDING PERMIT - - • ., 'S -
' EACH BUILDING SEWER -•- . .- • - . --- - . . -- - • , OVER 100,000 BTU • . - - .': - 'SIGN PERMIT -- • - - - - • - - - .
'-EACH WATER HEATER AND/OR VENT - - -' 1/) - BOILER/COMPRESSOR UP TO 3 HP -. ''- -
PLAN CHECK - - - - -
EACH GAS SYSTEM 1 104 OUTLETS -- / - - BOILER/COMPRESSOR 3-15 HP - -. • - . - - TOTALPLUMB)NG .. • r ' - ' -
EACH GAS SYSTEM 5 OR MORE - -- -- - "i2 d- 'M,ELAL FIREPLACE p_n. - - ELECTRICAL - . -... '_, - * -. • . . .
EACH INSTAL., ALTERREPAIR WATER PIPE : .VI[Iii-TIFAN
'
- • .' MECHANICAL - . - • - - -- -
— EACH VACUUM BREAKER y MECH EXHAUST -HO o6/DUCTS MOB)LEHOME
-I WATER SOFTNER - .. -- • - - - RELOCATION OF EA.FURNA EATER - . _vn• -- MOBILEHOME PARK, INSP.
EACH ROOF . . ••'i ' -* -. ''
, •' ,, . .. . - SOLAR
- .T0TLME NICAL •'-
-• . -- 1,
-•' - -
--. .
STRONG MOTION.
--TOTAL PLUMBING ''[T - ' FIRE SPRINKLERS
QTY, ' -ELECTRICAL PERMIT -(SSUE. . : QTY.
, - , •t - -
10 - SOLAR - !SUE
- PUBLIC FACILITIES FEE - -' ..•• ,.' - -.
BRIDGE FEE • - i- -
- -
NEW.CONST EA AMP/SWT/BKR. -- H, ,, - • COLLECTORS - - - *
-
- - SCHOOL FEE - DISTRICT
- I PH' t 3 PH - STORAGE TANKS Carlsbad -S
-EXIST BLDG EA AMP/ SWT/BKR- - -- - -' STORAGE - • ' * • r .' Encinitas - •• -- -
,- -- -*
1 P - ,n •, 3 P - , , - PUMP - • ' - . - •. - San Die . -- - * *. ' . - .
- - *-:
I REMODEL/ALTER PER CIRCUIT. •- : - - PLANCH - E - - - . . San Marcos -
-
-.
s TEMPPOLE'200AMPS - *-.. ,.'r .: , • - - * •-' ' ' • -- -- -S '- - •. :- .,' •. •- -. ' -• --'
' - OVER 200A MPS 4 - :- - r - • - ' .- - . - • .. -Of _______________
3 TEMP OCCUPANCYJ3O DAYS)
+
TOTAL EL TOTALSOLAR r TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued bylhe Building Official under the provisions o/this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER -
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void. If the building or work 5'0" DEEP AND DEMOLITION OR CONSTRUCTION OF authorized by such permit is not commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the building or work authorized by such, permit is suspended or STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON- abandoned at any time after the work is commenced for'@ p0iod of 180 days.
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE IND r
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS APPLICANT'S SITURE */ OWN ONTRATOR 0 APPROVER BY. DATE / --
WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF EXPENSES /7 BY PHONE 0 GRANTING OF THIS PERMIT.
V
- INSPFCTIC)N TYPE - DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT-
-FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH iNSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO•
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. - SMOKE DETECTOR. -
MECHANICAL
DUCT R1PI IM REF. PIPINC,
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS V
BUILDING
SPECIALCONDITIONS,.V. V
CERT OF:Occ\Ncy ISSUED
V •. -
V V
FIELD' INSPECTION RECORD
REQUIRED.SPECIAL INSPECTIONS
NOTES
INSPECTION REQ. IF
CHECKED
INSPECTOR'S
APPROVAL. DATE
SOILS COMPLIANCE
FOUNDATION INSP V
V
PRIOR TO V V V
STRUCTURAL CONCRETE .
OVER 2000 PSI I
V
PRESTRESSED . CONCRETE
V
CONCRETE V
V
POST TENSIONED
V •V I . _____
FIELD WELDING r V
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
V -
PILES'CAISSONS
.V*.VVVV,VV*
V V V 4
- 4 *
V
. ' V -
V
•
,V
V _____
V .
V - V • V
HE______________________________
VENTILATING
AT :- AIR COND. - SOLAR SYSTEMS -.
SYSTEMS
V 'VV• CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
-4