HomeMy WebLinkAbout1332 MAGNOLIA AVE; ; 79-1064; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATIQ~1193700
City of CARLSBAD, CALIFORNIA 92008 7a /tJt ;}0
Applicant tocompletenumberedspacesonly Phone 729-1181 Permit No 1--/
JOI AOOR CS$
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/33!2. rYJ 11D u,,J , / ,ti /Jve.. A-✓e_ t 4-/,'f# PARCEL NUMBER
L[~AL I t.OT NO. v I LK I T•~CT Qsc[ ATTACHCO SHCCTI
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OWN[llt MAIL AD0llt[55 ZIP PHON[
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CONTfU,C TO,. MAIL A00Jl£55 PttON C STATE LIC, HO. CITY LIC. HO.
3 tJ ,, /J J t) v' 'J< I . I l rl p ,./
A"CHITCCT O" OE.Sit.NC"--MAIL AOORCSS PHO"' [ LICENSt NO.
4
[NGIN CCR MAIL AOOR[SS PHONC LICENSE NO,
5
COMPENSATION INS. CARRIER MAIL AOO,-CSS IJIIANCM
6 Lv:/.A/k. 0~ Ll_mf?v1/)n K"M~ S.J-/4/J o7: /'"'1.A .,__~ ,, J ~; ,J ,t;) c.;tJ.oS-v
ust or l!IVILOING ,
1 NO. BDRMS NO. BATHS
8 Class of work: □NEW )ef ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work:
( ~ I ~I I h>-1,h_, ..J-//"Ut 1',(V(/ ~ fx,11 n 2.--roorr--t:J ,,, ~--r., I
.,;-'.,,. ..-// -_.J ~ ~'&l?tYD_)
~ Jf{J!:W ~ () NTR A-~O (R_ •
""'
I
10 Change of use from /
Change of use to I 0(c,-d_ -~ -{¥,,,. ~ -~:A 7~-8,q 7 I" -,_
I -__, -I PERM~$ -11 Valuation of work: $ Af1?fr7J-~~ 11e-Si,,o,-'~ PLAN CH'!Clf FEE S
SPECIAL CONDITIONS: MICRO FILM FEE Type of Oc~~~ \ Const. Gro
' s,zeo~ N o. Of Max.
"-.... (Total . Stories 0cc. Load -Fire use Fire Sprinklers
APPLICATION ACCEPT£ 0 BY PLANS CHECKEO BY APPROVED FOR ISSUANCE BY zone Zone Required 0 Yes 0 No
No. of OFFSTREET PARKING SPACES:
Dwelling Units No. JNo. DATE DATE Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMa-PLANNING DEPT.
ING. HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF Fl RE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WATER DEPT.
HEREIN OR N OT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
~~~OF ANY OTHER STATE OR LOCAL LAW REGULATING CON UCTION OR THE PERFORMANCE OF CONSTRUCTION .
./~
Slc>NATUR[ O [CONTIIIACTOfll 01111: AUTHOflllZ.CO AGltNT (04 Tt)
DiiL C. for,E 2 .,,, :t ffu~v
S IC.NAT Rt o, OWNUI 1, OWN[III I UILDE:11111 [OAT()
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
'f A/$, t' OM f AA.I Y /,I A 111/.jj A-L A 1h e y,' Q. r-Lfl
(}; d, 13¢-j
L.A>-· k~ u/i,GJJ
Ill?,-
TOTAL FEES$--'---------
a, 37 ~~
81
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No
JOB ADD" [SS
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LOT NO, I ■LK I TOCT L<OAL I 1 DUCO.
OWN[llt MAIL AOD"ESS .. p PHONC
2
I
) I-. ,},1,JJI ,,,__ { \ ,, 9
CONTJU,CTOIII MAIL AOOJl[SS -PHONC STATE LIC, NO, CITY LIC, NO,
3 < .. ·.,,., ·-"'
AJICHI TCC T 0" DC.SIGNER -MAIL AOORC55 PMOMC L ICENSE NO,
4
CNGINC(III MAIL ADDRESS PHONE LIC[NSC NO.
5
COMPENSATION (NS, CARRIER ""4AIL ADO"tSS 8111ANCM
6
U$£ o, ltVll.DING,
7
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: ,r/,, ,,-~.,. -~ ---.... -
e_<Jt_1/f)t~\..Y ~ -, a-# ~ rr
V PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: t WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
' SHOWER r~,v
KITCHEN SINK & DISP A h\ .
DISHWASHER I ,..
APPLICATION ACCEPTED BY PLANS CHEC~EO SY APPllOV[ 0 FOR ISSUANCE av I LAUNDRY TRAY
I CLOTHES WASHER
DATE WATER HEATER
NOTICE URINAL
THIS PERMIT BECOMES NULL AND VOID IF WORK O R CONSTRUC-DRINKING FOUNTAIN
T IO N AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A FLOOR-SINK OR DRAIN
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-SLOP SINK
MENCED , GAS SYSTEMS, N O.OUTLETS I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO Bf TRUE ANO CORRECT. WATER PIPING & TREATING EQUIP. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED WASTE INTERCEPTOR HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CAN CEL THE VACUUM BREAKERS PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
/"\ SEPTIC TANK & PIT
ROOF DRAINS
51GNATURC o, CONTNACTOR OR AUTHORIZ.CD 4C.tNT (OATC)
ISSUANCE FEE $
SIGNATURr Of' OWNER 1,-OWNER BUILD[RJ fO~TCI TOTAL FEES $ I ,
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
I
ELECTRICAL PERMIT APPLICATIOM
.,.. ,,, I ,/ City of CARLSBAD, CALIFORNIA 92008 Permit No. ' -,
Phone 729-1181 Applicant to complete numbered spaces only.
JO■ ADO .. ESS
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LOT NO. V Im l T"AC T ---
LEGAL I Qsc< ATTACHED IHE.tT) 1 ouc".
OWNUI MAIL ADOftE.89 11P •WONI:
2 l . ),,,,..... .~, :, ) lL,Ju -' CONTfllACTO .. ----MAIL AODfU,.sa ~ PHONE LICE.NS[ NO,
3 . ~ /., /,_ ..,
AR:CHITl:CT O" DESIGNER: -MAIL AOOfllESS PHONE LICENSE NO.
4
CNCINEIE" MAIL AODflltSS PHONE LICENSE NO.
5
LI.NO£" MAIL Aoo,u:.ss I 8,.ANCH
6 ( A.1n" r 1r 1 • J;/J // '"'t, i UA~/ \. ~l.n -, jJ ~-. -,.,. ---F J l
US£ OP' ■U ILDING C .
7
8 Class of work: □NEW PADDITION □ALTERATION 0 REPAIR ,
9 Describe work: /Y)/_J~ J~~fa
. .. ,.; .
! z
'" :I
~ 0 • ► 0 0 :I "' .. z
0 .. .
,
;,;;, ~~,I ~JJ1JA . . Jl:t( 7C£.<?"q~' ,_..~ -~ PERMIT FEES
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTED BY, PLANS CHECKED BY APPROVED FOR ISSUANCE BY: AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
REMODEL, ALTERATION, NO CHA'NGil CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
/)A T EMP. SERVICE OVER 200 AMP.
PER 100
S IGNATU"ll 0 ,. CONTIIACTOII Ofl AUTHOIIIIZ.11:0 AGCNT (DATE)
MINIMUM PERMIT FEE
s 1e.w.&TUAI: OP' nwNE.11 Ip! OWN["-au1L01u, (OATEJ
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
v~ t, n1 Y 111v
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l
INSPECTOR
No. Each
/QO A ."!I
It'"\~
;J:!1---
7(;
M.O.
Fee
-,.. -
~ ~
17 .~
~
CASH
J fl/0 1
MECHANICAL PERMIT APPLICAlil®N 1 ·179
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No 11-1~~1
JOI ADO" ESS
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lOT HO.
LtGAL I 1 DUC",
.. , BLK I T"ACT t0S£[. ATTACMCD SHE.ET)
OWHC,. MAIL ADDRESS 21 p PHONE
2 .,,,,.~< l (,; l'l r) 1;,F ~ ...,,,,,, ,. '\ 1, ::,<,,
CON TfU,C--ro .. MAIL ADDR!SS --PHON C STATE LIC, ND, CITY LIC, NO,
3 i ,?o, /,_/,., ,/
ARCHITECT OR OCSIGNUt --MAIL AOOfll:£$5 PHONE LICENSE NO.
4
[.NGIN[t,i: MAIL ADOPl£$S PHONE LICENSE NO.
5
LlNOUIJ MAIL. AQO,icss BRANCH
6 [ /J ~11, 1 t,/L . -. ,/ (, ( ;, /,J '1 ,,, -. ---~ , ') -i ( I• I
USE a, IUILDING . / },;, ·y 7
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: [ ,·~· ,> rt' .J< /JJ /,,/J ~/Cl /'-, t ,, ; .r, P "1 L ) ( I )Ju1YJi1-1tfi ) . /~ . --f -
~-~, ,. t ' /➔ 7/:J t:Jt/6 f, .t. ~~ ~-•"--:d~~ A . /:,l -""--,,_._,__;I 'I ., --.,
11 -V Type of Fuel Oil D Nat. Gas D LPG. D
PERMIT FEES
SPECIAL CONDITIONS. No. Type of Equipment
Air Cond. Units-H.P. Ea.
Refrigeration Units-H.P. Ea.
Boilers-H.P. Ea.
Gas Fired A.C. Units Tonnage Ea.
Forced Air Systems B.T.U. M Ea.
APPLICATION ACCEPTEO BY PLANS CHECKEO BY APPROVED FOR ISSUANCE BY Gravity Systems B.T.U. M Ea.
• Floor Furnaces-B.T U. M
I Wall Heatert-B.T.U. M
NOTICE Unit He&ters-B.T.U. M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-Evaporative Coolers
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,OR IF I Clothes Dryers CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A ' PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-Ventilation Fan
MENCED. Range Hood I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS Air Handling Unit-C.F.M.
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED Incinerator 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.
fl ~ ., t,
SIGNATUIIIC 0,-CONTIIIACTO .. Olll AUTHOftlZ.ED AGE.NT (DATl)
J; ISSUANCE FEE
., TUfll:: 0,. OWHUt ,,. OWNI: .. autLDl:ft DATt
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS VOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
1 J_ f7 IIN, )'I (' J i/
ljc j( { u I~-
INSPECTOR
TOTAL FEES
M.O.
Fee
$
-,..,...-
,-
~
..
. ,
$ ----$
CASH
Tl
-
ELECTRICAL PERMIT APPLICATIQh--1
City of CARLSBAD, CALIFORNIA 92008 11 179
12.00
IE!eOO TL
Applicant to complete numbered spaces only. Phone 7 29-1181 Permit No. o/4-//-7, 3/
JOB ADDRESS A"-/'3 "3 2.-/!Arf ~Vo LI,,..
LEGAL 1 OESCR.
I LOT NO. I OLK. I TRACT (QSEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 /',1rE RlfJr>t ARiz.. ' . (lu,. ·79l.bo · .J 11~2. J,:f,((',,(,1<1/,J/( I .. I-/ I I
CONTRACTOR MAIL ADDRESS PHONE STATE LIC, NO. CITY LIC, NO.
3 ' y ELCO., ,, " ~ . ·,-1, . re.. K. ('ll~lSA ~ 7.,,,;-,;~,, il.cr/i Jl,397
ARCHITECT OR DESIGNER MAIL ADDRESS . PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO .
5 .Vf
COMPENSATION INS CARRl j;:R,J'1,, MAIL ADDRESS BRANCH
6 , ....J...,
USE Of BUILDING ., ,-•
7 .. , , ''-' t= ....
8 Class of work: □NEW 0 ADDITION t'.aALTERATION 0 REPAIR
9 Describe work: rJ,,. tt,,.,,, 4 ..I' • , . . /_,.;.,,,.._ /'t, Cl ;, .;. ./. --~.-.......,. Jd'O ~ ~
I I
'.ro,,,t ~/-.,. -1-u ..C~o
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
-NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTEO BY PLANS CHECKED BY APP~VfQ,-OR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH , ~ ,,,, FUSE OR BREAKER "'rP l~>S ~ /4 .. 4A 7'o//9'/1,,lt/-15AT!: -'\. NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT.
ALL PROVISIONS OF LAWS ANO ORDINANCE~ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED Wl7H WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD-PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
///F TEMP. SERVICE OVER 200 AMP. .,,-, Y-IJ -77 PER 100
SIGN,lTU'E Of CONTRACTOR OR A,UTHORIZED AG~JIT (DATE) !! ISSUANCE FEE .,_ ----~ TOTAL FEES /_'.'° .,,
"i.tt.NATllRE nF nwNER IF OWNER B ILOER DATE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT I
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
TIME :,_..:_J ....c.?,_:..::.}..=->::.._.--__ _ R .::,, ~ST F~ INSPECTION
INSPECTOR f ~ ., PERMIT NO. _______ DATE:
OWNER f4-. ~~ ~ aJ\ L:::,
~-cJ..~~ 1f
·,2,,.-.:r,....., 'A \ (5 ADDRESS·---L---✓--'.-/ __ ,-. ___ f'/_\_~,......_-'--..:> __ l _O--_______________ _
BUILDING
4 -F-QYN-D-AJl.eN'.' 00 \,-\ ➔
D REINFORCING STEEL ~-
□ MASONRY
D GROUT -GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
D EXTERIOR LATH
D INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
D UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
D GAS TEST
0 WATER HEATER
D FINAL
ELECTRICAL
D TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: ~ □TUESDAY □WEDNESDAY
~
□THURSDAY ~
c::STRUCTIONS 4"' Q. .\-\ '0 0-.67 Lf) ~ j'I) Q (UA)"\.... ".'.W'. ----J "' t5
REQUESTED BY \) · Uy\~ \ (\ LLe::;\ \. ~ 1J-q-'f 3 ~ I PHONE NO.
PERSON TAKING REPORT _ _.C,(~((k-------
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Signed
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BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT · GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
0 UNDERGROUND WATER
½ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION:
D A.M.
D P.M.
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
0 GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPI NG
D FINAL
WEDNESDAY D THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY "~&VJ; PHONE No2k?-3/.2 L
PERSON TAKING REPORT ,~
J . -
REQUEST FOR INSPECTION TIME=---------,r---
INSPECTOR 2~ PERMIT NO. _______ DATE: ~ OWNER ________________________________ _
ADDREss_/_3_3_~ __ /4__;__.....;;..tt_,r....,f....;..k., ..... a ...... /'---'--/ -~-------------
(BUILDING _,}
D FOUNDATION J;
0 REINFORCING STEEL rf(otJ,),-
0 MASONRY ~
0 GROUT -GUNITE
0 FLOOR AND CEILING FRAME
~SHEATHING
0 FRAME •
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
ELECTRICAL
0 TEMPORARY SERVICE
O 11:LECTRIC UNDERGROUND
□'ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
D COMBUSTION AIR
0 PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY D TUESDAY D WEDNESDAY D THURSDAY
D A .M.
D P.M.
SPECIAL INSTRUCTIONS_"""t:fY"'----'~~_.,,,.~.ac..=~~~~F---_.,.~=...-.. .... ~..,.--_.,_~C....,""""-~~_,,/~<-.L.-~__,.'-+-__,.,'----
REQUESTED BY &4 ~ PHONE No.Y..2-f'.-~.3'_s7
> PERSON TAKING REPORT ~ ,
-~H
~avcf ----~---___,/ ---
3 ~ d 7~_/4JC}t.4.,
v~ ./4lld ~ 3 ,. CL_lsf~ ~
1'-'1.J--. --UJ ~ 4J ~ ~ 3 I Aµ ;,J
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RED.D .ST TION TIME: ____ _
INSPECTOR ___ __.,i,-i.J--¥-.l.O,,,E---,PERMIT NO. 71--117J". DATF-4 -1k -71
OWNER _____ ...L.....+-''-=--'--.c.,__--~r-"""'--------::--------------
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT · GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
D TOP OUT PLUMBING
D SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: D MONDAY □ TUESDA
D A.M.
D P.M.
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
OOL BONDING
LECTRIC SERVICE
0 CEILING HEAT
0 G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
D PATIO
D SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
D THURSDAY D FRIDAY
---SPECIAL INSTRUCTIONS ___________________________ _
REQUESTED BY ~ 'ifiz,.._. ~) PHONE NO.
PERSON TAKING REPORT _______ _
( 3 s z ./7A G,j/0/ IA
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DUPLICATE Signed
-~';l 11?tH2£ f-7>,t?JC
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s: L /c
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REQUEST FOR INSPECTION TIME: ______ _
INSPECTOR·----=-------PERMIT NO-;,u 112r DATE: ---'-Y_-___,_l-+o/ __ _
/
BUILDING
D FOUNDATION
D REINFORCING STEEL
D MASONRY
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D ELECTRIC SERVICE
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D COMBUSTION AIR
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D PLENUM AND DUCTS
D COMBUSTION AIR
D PATIO
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INSPECTOR ~/ PERMIT NO. _______ DATE: L{ -)-7
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0 SMOKE DETECTOR
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0 COMBUSTION AIR
0 PATIO
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0 DRIVEWAY
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D SMOKE DETECTOR
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0 PLENUM AND DUCTS
0 COMBUSTION AIR
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D FI NAL
□WEDNESDAY □THURSDAY 6
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D SMOKE DETECTOR
D FINAL
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0 PLENUM AND DUCTS
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READY FOR INSPECTION: ~y ~y □WEDNESDAY □ THURSDAY D FRIDAY
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D TOP OUT PLUMBING
D SEWER AND PL/CO
D TUB OR SHOWER PAN
D GAS TEST
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D FINAL
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D TEMPORARY SERVICE
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
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ELLANEOUS
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~;c;-~ D A.M.
D P.M.
SPECIAL INSTRUCTIONS ____ __,.,__ ______ ___,,,_~------------
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REQUESTED BY_C_9-_(<(_cJ..-. ______________ PHONE NO. _______ _
PERSON TAKING REPORT _______ _
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\ INTERDEPARTMENTAL INFORMATION SHEET
o~ILDING DEPARTMENT DATf~-.. -E . ·~:; IVEO
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PLANNING DEPARTMENT ,./'
Z ONE __ -,....g-"'---'1.__ _____ LOT SI ZE _________ LOT WIDTH. ___ ~....J.._o _____ _
UNITS ALLOWED ______ ...__ _____ UNITS PROVIDED ______ -+------
PARKING SPACES REQUIRED ~ PROVIDED ___ ~,...--<!+..--------
% COVERAGE ALLOWED t/t> PROVIDED -----j~e--+_.,,..,=-------
BUILDING HEIGHT ALLOWED ----~i~?:'-____ PROVIDED __________ _
FRONT SETBACK: SIDE SETBACK: REAR SETBACK :
ALLOWED --~"lQc..=_l-1----
. ~OVIDED ___ ~<Jt..._;:___ ~ Jl/ I
INTRUSIONS . LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS:
OK TO ISSUE: (,R)!;: DATE ,2-1,1/oK TO FINAL _______ DATE ____ _
' ENGINEERING DEPARTMENT
• R . 0 . W . /oa ,, .£ tlJ'T1A16 INDUS TR I AL WAS 'J' E IMPROVEMENTS ..z~ ;1t ....,..,,, ,JtwN "W -------
c::::::: SEWER CONNECTION ________ DRIVEWAY LOCATIONS ___ ~ _________ _
GRADING PERMIT _ ___:..;l'l/.~£-'------EASEMENTS __ ,t,,--=-~-"'-------DRAINAGE • ...,__..
LEGAL DESCRIPTION __ ~7~~~m~E--~1'1--tL...--~d:L-Lo/Ju4~v~£...__ ________________ _
ADDITIONAL COMMENTS ____________________________ _
OK TO ISSUE: ~JW DATE 3 ~7--Tj PWI ____ OK TO FINAL ____ DATE ___ _
FIRE DEPARTMENT
SPRINKLING SYSTEM ____________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS ________________ _
r IRE HYDRANTS LOCATION
.(A~DITIONAL COMMENTS _____________________________ _
OK TO ISSUE: .. _____ DATE _______ OK TO FINAL ______ DATE ____ _
'=-================================================================================
WA TER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _