HomeMy WebLinkAbout2055 MAR AZUL WAY; ; CB881157; Permit"' z 0
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0 I hereby affirm that I am licensed under
prcwlslon1 of Chapter 9 (commencing with
Section 7000) of DiYlslon 3 of the Business
and Prolelll!liona Code, and my llcEmse is in
lull force and effect
1 nereby affirm tnat I am exempt from the CanIrac
tors License Law tor the tollow,ng reason 1sec 7031 5
Bus,ness and Professions Cade Any c,ty or counly wh,c~ re
qu,ies a oerm,t io construe! alter. improve demo1,sn or
repair any sl!uclure. prior to ,ts issuance also requrres !he ao
p<,cant lor such perrn,1 to hie a s,qned staleme~I lhal he ,s
l,censeO pu·suant to lhe provIsIons of The (,owac,or s
license Law [Chapter 9 commencmg w,:n Sec1,on 1000 of Oov1s1on 3 01 the Business and Protessrons Code: O' lha11s ex
empt Theretrorn and the bas,s for 1he allegea e,empt1on Any
,io1atIon ol Sec11on 7031 S by an apol11:ant lor a perr:i1t sub
!eels the applicant to a cIvII penalty of nor more than live ~un
dred dOlla<s iSS00'
I, as owner al the prooer1y, or my employees w,to wages
as theor sole cof'l1pensat1on w,I1 do me work and the struc
ture Is not 1nlended or altered 1or sale 1sec 7044 Bus.ness
ana Profess,ons Code The Conlrac!o' s L,cense Law does
not apply 10 an owner of properly who builds or Irsproves
l~ereon and who de>es such work n.r•,sell or lhrough his own
employees prcv,de{J that such improvements are not intend
ed or o11ered to, sale 11. however. the bu,ld1ng or Imp,ove ment Is sold w1th,n one year of complel1on. the owner-builder
wIII have :he burden of proving that he dId not build or ;m
prove for the ourpose of sale1
I as owner ot the praperty, am exclusively contracting
with licensed conrractors to construct the p,o,ect (Sec 7044
Business and Profess,ons Code The Contractor's L,censs
I aw de>es nol aDply to an owner ol property who bu1IOs or Im proves thereon. ano who contracts to, each proIects w1Th a
contractoris) license pursuant to the Contractor's L•cense Law)
As a homeowner I am ,mprovmg my home. and !he fol·ow
Ing cond,hons e~Is1
1 The work Is being perlormed proor to sale
2 I have 1Iveo In my home lor twelve monihs
prior to comple!1on ol mis work
1 have not c1aImeo lh,s exemption during the
last lhree vears
I am e,e!!lpT under Sec _____ _ B & PC tor th,s reason ____________ _
_ I hereby affirm t~al I have a certd,ca1e of consent 10
se f ,nsure or a cert1!1cate of Workers Compensallon In
su,ance O' a certd,ed cop; thereo• 1sec 3BOO Labor Cadet
POLICY .. o
COMPA-.Y
Coo, IS '1leC w1lh ttie c,ty
Cert,hed copy ,s he•eoy furn,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1T~1s s.ec1,on need not oe completed ,f the permit
,s for one hundred dollars ,,$1001 or less!
I certify that ,n the pertormance of the work lor which
lh,s pe·mIt 1s issued I shall not employ any person ,n any
manner so as lo become sub1ect to the Workers Campen
sa1Ion Laws ol California
NOTICE TO APPLICANT 11, alter making th,s Cert1f1ca1e
of Exempt,on. you should become subject to the Workers
Compensation provIs,ons o1 the Labor Code you must
10,thw1th comply with such provIs,ons or th,s per,-,It shall
be deemed revoked
I hereby aff,rm that there ,s a construction lend,ng
agency for the performance of the work for wh,c~ th,s per
rn,1 ,s ,ssued 1Sec 3097. Civil Code)
Lender s Name
Lender s Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 APPLICATION & PERMIT
JOB ADDRESS
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AV. ST.RO. THOMAS BROS NO. 0ii :~•:g~0 I BUSINESS LICENSE# J:;:A;; -~ Jl&=f ~ 75" ~f"'~'"' -1,-.:...-
,o, BLOCK SVBD1V1Sl0N -I ASSES-SOR PARCEL NO
? ,.::;--1 io-4<; ,qo
OWNEA"S NAME
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DES..9'1.IPTIO'::i_~F WOjlK I , 1 r-r-CTVlrl,., -~...,.n,,w:: LloaJ S.-=-Ai:>,~ • •· ·
/3 ~:;e~n~11 CONTRACTORS PHONE#
CON'RACrnR·s \07 STATE LICENSE NO.
DESIGNER 7\ DESIGNER'S PHONE
STATE LICENSE NO.
ZONE ~ _,......,/ o 7) I I i::,),
BUILDING SQ. FOOTAGE
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ESIGNER'rORE~
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STORIES
OCC GP EDU 1657 09/01/88 0001 01
Bldl'w,t
>--
02 oJ I 597. "'
vC "-<O
GRADING PERMIT ISSUED TYPE
CONST
OCC LOAD FIRE $PP RCS vNm l
, D ~ D l REDEVELOPMENT
ARE A
,□ -..□ v □ NO Not Vi1l1d Unless M,1chine Certified
QTY. PLUMBING PERMIT -ISSUE 7~ QTY MECHANICAL PERMIT -ISSUE / '7 ,,y SUMMARY/ACCOUNT NUMBER ""'-I ,,,.,_
EAr:H flXTURE TRAP I II I INSTALL FURN DUCTS UP TD 100 000 BTU I II g□1Nt, f'Ef-!MII 001-810 0u-00 tinll 7.t::J-./
EACH BUILlJING SFWER OVER 100 000 BTU 001'810·00·00·8??' ,
EACH WA l ER HEATER A~U OR VENT BOILER-COMPRESSOR UP TD 3 HP -001'810-00-00·8891 7_.,, 7Z
EACH GAS SYSTEM 1 Tu 4 ouTLEJS I II I ROILER,COMPRESSOR 3 15 HP l ])..J,,... II _,l(JTAL PLUMBING oo·,-s10.oo-oo-s222 7
EACHGASSYSTEM50RMORE I II IME:lALFIREPLACE I _.l'\O \ ~ ~"tj:JELECTRICAL 001·810·00·00·8223
EACH INST AL ALIE.R. REPAIR \r'.'AIEfl PIPE VENT FAN SINGLE DUCT 001 8'0-00-00·8224
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS 00H1CJ-00·00·8225
WATER SOFTNER RELOCATION OF EA rnRNACE HEATER 001-810·00·00·8226
eACH RD'.H Ji..;AI~ ,'·J~1ilf' DRYER VENT 880·519·92·33 -TOT t;. l ME CHAN I CAL FIRE SPRl~JKLERS 001'81 '.HC·C·0·8227
TUI Al PLIJMfllNC I i='i.JBLIC FACILITIES FEE 320·81-J·00·80·8740
QTY ELECTRICAL PERMIT -ISSUE ,S-1' BRIDGE FEE 360-810·00·00-8740
QTY I MOBILE HOME SETUP PARK· N·Llt.U 1AREA
NEW CONST EA AMP SWJ tlKR CAR PORT TIF 312·810-00-00-8835
I PH IPH AWNING LA COSTA TIF 311-810·00-00-8835
FXIST !HOG EA AMP SWT HKR GARAGE FMF
l PH 1 PH LICENSE TAX 00 1 -~ 1 O·C:J-'.l>S· 62
REMODEL Al TtR PEP [IRCUIT MFF 880·519·92'5;'
!Er.1PPOIF /UUAMPS
UVE A }(JU AMPS
H.MP UCCUPANCY ']0 DAYSI __.
CREDIT DEPOSIT c n-c __.t;/
T il I AL ELF l. T fl lt:A l I ·m Al TOTAL FEES PAYABLE 1 591
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPUCATION ANO PERMIT'" AND 00 HEREBY EKp,ration Every perm1t issued by the ButldmgOH,c,al under theprov1s1onsolth1s
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall 8Kp1re by l1m1tat1on and become null and vo,d It the building or work
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ authom:ed by such permit IS not commenced w1th1n 180 days from the dateol such permit or 11 the building or work authonled by such permit ,s suspended or ISSUED: TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON· abandoned at an lime after the work IS commenced for a enod of 180 a s
--#AN HA PERMIT IS REOUfREO FOFI EXCAVATIONS OVEA
5· · DEEP ANO DEMOlrnoN OR CONSTRUCTK>N OJ
\RUCT\JRES OVER 3 STOAIES IN HEKiHT
STRUCTlON. WHETHER SPECIFIED HEREIN OR NOT. 1 ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO~PP AN2Z·s u OWNER O CONTRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE J _
GRANTING OF THIS PERMIT .. ..._ ,,...., """"""'./ -(i_q C,(\,,-'r" BY PHONE rJ
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION -/'\ ,s
REINFORCED STEEL -, <1/;t/vv I Tf ,-_ r .J-P' '~
MASONRY I '
GUNITE OR GROUT
SUB FRAME □ FLOOR D CEILING
SHEATHING □ ROOF D SHEAR -FRAME 10/1/rr '}'./
EXTERIOR LATH ' /)
INSULATION ' /t),/4 -/ • ~ /}
INTERIOR LATH & DRYWALL "-.. /P/,,,1 vr -r
I I I/
PLUMBING
□ SEWER AND BL/CO D PL/CO
UNDERGROUND □ WASTE □ WATER /)
TOP OUT □ WASTE □ WATER /0 I,,/ I /
,·)
TUB AND SHOWER PAN 1ilf.."? 1-'-r
GAS TEST I I V
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER ,-,
ROUGH ELECTRIC l/0/4./P'}-"r
D ELECTRIC SERVICE □ TEMPORARY ' I '
□ BONDING □ POOL
MECHANICAL /)
□ DUCT & PLEM., □ REF. PIPING /,;,,~/ ;,;. I
HEAT -AIR COND. SYSTEMS . I
VENTILATING SYSTEMS . ' .
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED
FINAL
PLUMBING
ELECTRICAL /)
MECHANICAL "-U1 17
GAS ', ~ [O I ' I
BUILDING "-/
SPECIAL CONDITIONS '
<'.:f:, ig p.::':)/
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE .
PRIOR TO
F-OUNDATIOr-..i INSP
·-· +-----STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
i---------HIGH Sl RENGTH
BOL Ts
SPECIAL MASONRY
PIL.ES CAISSOr,,.,'.:-'
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O I hereby affirm that I am llcansed under
provisions of Chapter 9 \commencing with
Section 7000) of Division J of the Business
and Profeaalon1 Code, and my license 1s in
full force and ellect
I here~y dltirn, Iha! 1 am exempt Iron· me :c, s '"rcense \aw lor the 1011ow,ng r~ason :Sec
·,
I
USE BALL POINT PEN ONLY & PRESS HARD
JOB AOOflESS
-~ C"~, -
LOT BLOCK
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., C~rlsbad, CA 92009·1915 (619) 438-1161
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
APPLICATION & PERMIT
/"
J~J,J~l~l;tfLlCE!'.tSE # VALUATION PERMIT NUMBER ·,x 11,1 A_
C()NTRACTOAS PHONE 1t ZONE ~
Bus,ness aod Proless,o~s Code Any c,ry or counii -e
qu,res a perm,' to construct aiter. ,,,,prove derr-o',sn o·
,eo.i,r dny structure pr.or w rls ,ssuance also reou,res ·r,e ao-
pl,can! •or such oermrt to 1IIe a s,qned sta'e,neol 1na' Ce,.
'censec pU'SUJnT to the prov,s1ons o• t"e Lo·,!·ac''J' s
L :cse LJw 'Chapter 9 cornmenc,ng w·t". Sert,or, 7G00 ol G,,· s:oo J cl ·~e Business and Prolessrors Code, or tha:
I _ ) STATE LICENSE NO. L TAGE
1 c,-, ldPmt 127 .() ~
L 2i:
ecc,p: the•elrom and \he Oasis 'or the a'lege8 exempl,tr, ,,u:a:.,,r; o: Sec:,on 703~ 5 n·i ar; a~p:,can: 1:;c a ~er···
( OES1G_N£-A -QESIGNEA'S PHONE 2:'
~
1ects :he appi,r.,art 'J a c ,,: penaIty ot no• more•~?,~ t .P
~,ea Ool!a·s :ssoo1
as owner o1 t~e properly or my erPo-~,,te·, w·:' ,-,a,;c
,is ·ie,· oole compensat,on w,1, ao the wv• It.e ,trI,,
lure:\ cul ,ntenoed or ottereo for sa,e :Se: B, c,r,,
and P:J•e~o,ons Code The Con'•acte's 1,,~n1e ! ,.., aoes
nol apely re aA owner ol pro~eriy w~o ~u, ds u, ,,0~-~ces
iheceon and whc does such work h,<r,\e! ~r :~,o~qn °·sown
emp,ovees orov,oed that such ,mprovernen•s are nor ,~Teno ed o· Otlered for sale II. however. !he tiu,loing or ,moro·,e
men! ,s sold w,t~.,~ on~ year 01 compleI,on t~e oweP,
wi!I have the burden 01 prov,~s that he did ior or ,..,
pro1·e fDr the purpose o• sale,
1 as owner 01 the prope•ty am exclus,·,ely ur1,c1,:1 ,~
w0th 11cerseO conrrac1ors to construe! lhe p•o1ecr I Se, 7044 Business and Protess10M Code The Co0.t,aclo:·s L,-::enc;e
Law does roi aoply lo a~ owner of properly w~0 bu11~s nr ,m ~ro~es the,eon. and who contrac!s ior each pro1ecls "'''·' a contractor(sl license pursuant to the Co0!roc·o, , : 'Cf"S"
LJW)
As a homeowner I am ,mprovmg my home ore t~e 'o; sw
,ng cond1t1ons ex,st
1 The work ,s bemg pertormed pnor to 5.JIC 2 I have 1,ved ,n my home lo, !Nf'V~ ,o-,nt~s prior lo completion of lh•s won,
I ~ave nor cIa,f'led th,s e,e,;,r,I:0· ~v· ~.; the last three years
lame,emp1underSec _____ _ 8 ~Dr
tor this reason ____________ _
_ I hereby aff"m I hat I have a cert,f,ca:e of COl'SeM tc
se•f-,~sure or a cert,•,cate o' Workers Cor,,per,sat,on In
su,ance o, a ce,til1e<l copy thereat 1Sec 3800 LabO< Co,1e·,
POLICY r-O
COMPA'sY
Coo, ,s • led w,tn the c,ty
Ce,t,lied copv s nereb)' tum1sned
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSUFIA'lCE
1Th,5 section seeo not be completeo ,f the pe,m,t
1s !or one hund•eO Collars •$1001 o, less,
I (
_ I cer11!y that"' the performance of me work lo, wh,ch
th,s pe,-r,,t ,s ,ssued I shall not employ a"y pe,son -r, an, 1
manner so as to become sub1ecl to the Workers Com pen
satmn Laws of Cal,forn,a
NOTICE TO APPLICANT If. after mak,~g 1h,s Cen,h~ate
of Exempt,on. you should t>ecome sub1ec! to t~e Worsers
Compensation prov,s,o~s of t~e Lab?, C0Je you must 1 forthw,th com pl; w<lh such p,ov,s,ons or i~,s perm,• shall
be deemed revo~ed
__ I hereby aff,rm that there ,s a constcect,ur ,~r,(1 c,g
agency tor the per!o,mance of the work ror wt-,,ch t~,s ~er
m,t ,s ,ssuecl 1Sec 3097 Civil Code·,
Lende1 s Name
Lencle,'s Address
•~o~•~s~,G""•~,~.~-s~. ~.~o~o~s~,~s~sc--"-'---'---""";_;__'-+~s~TnA~TE;,,..,~;IC~E~N~S~Ea-TN~0~.-'---1 i
--
I CENSUS TRACT PARK IN(_, SPACE RE.S UNITS GRADING PEm,ffr ISSUEC
,□ ' □
' ' FLRELEV
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NO
STORIES
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REOEVf.LOPME"-_•_·t __ \C
OCC GP EDU
OCC LOAD FIRE SPP
vD NO Nor Vdl1d Unless lthchme Certified
QTY
7'o/
PLUMBING PERMIT
EACH ~IXTURE: TRAP
EACH BUILDING SEWER
ISSUE ?-SD
~
QTY
v~
MECHANICAL PERMIT -1ss_~t\\{,
INSTALL FURN DUCTS UP TO 100 000 B'N.J'
OVER 100.000 BTU
Pt03HF1
~~;Jb
_ a I 11r7 :-La~\'t;\\:tl ~
SUMMARY/ACCOUNT NUMBER
.. .,,,,:., r'tHMTT 7}0 f-810-00-00-Bau
SIGN PERM!T 001 81:)-00-00-8221
~ --I ' "' ., ~ .... , EACH WATER HEATER ANO OR VENT
EACH GAS SYSTEM l TO 4 OUTLETS .., _ _c-, BDILER,COMPRESSOR 3 15 HI' --,QillW
EACH GAS SYSlEM ~ OR MORE
~
'.1ETAL F·REPLACE u~·
EACH INST AL ALTER, REPAIR WATER P1PE 7 VENT FAN SINGLE DUCT
EACH VACUUM BREAKER MECH EXHAUST HOOU UUCTS
WATER SOFTNER RELOCATION OF EA FURNACE-HEATER
fACH Q()l)f-f")R.'.11~; '.s'rJf iJRYER VENT
TOTt.L MECHA·N-ICAL -
TUI Al Pl\JMBINL I '1'1
' QTY ELECTRICAL PERMIT -ISSUE .s.co QTY. I MOBILE HOME SETUP
NEW CONST EAAMPSWl HKR CAR PORT
I PH 3 PH AWNING
EXIST BlOG EA AMP SWT BKR GARAGE
1 PH 3 PH
REMODEL Al llR PER [IR[~IT ~,-f, ---TEMPP0Lf }00AMP<; /tCJ() ~ k\.
OVE.A }(JU AMPS '
TEMP OCCUPANCY 130 DAYSI
TOIAL fl~CTRIU.! I ~
~~~1~~~;~~L ie~x:~~N~~ T~:R1i:::\~T;r ;~r~~~i~lo~-~i:g~ '~~~l~~R~~~
DECLARATIONS ARE-TRU6·ANO COAAECT ANO l FURTHER -CEA-T!FY-ANE) AGREE tF A-PERMIT -tti-
!SSUED: TO COMPLY WITH AU CITY. COUNlY AND STATE lAWS GOVERNING BUILDING CON·
TUI Al
'l_V..'01. PLAN CHECK OD 1-810·00·00-8891
-, TOTAL PLUMBING 00 ·, -8 • 0-00-00-8222 ~q
ELECTRICAL 00' 8'0-00-00-8223 ~.
~ MECHANICAL 001-81 ::J-00-00-8224 ~
~
MOBILEHOME 00 1-81 c,-oo-00-8225
SOLAR 00 1 . 8 ', 0. :)0-00-8?26
STRONG MOTION 880-519·92·33
~-
FIRE SPRINf\LtRS 001-810-00-00-8227
PUBLIC FACILITIES FEE 320-8' 0-00-00-8 i--lC,
BRIDGE FEE 360-810-00-00-87 40
PARK·IN·LIEU (AREA
TIF 312·81 0·00·00·8835
LA COSTA TIF 311-810-00·00·8835
FMF
LICENSE TAX 001 810-00-0'.;-S 162
MFF 880-519-92-5?
CREDIT DEPOSIT
TOTAL FEES PAYABLE -----I-? 1-z__1
* ... ~-~~-.. ISREQUIREOFOAEXCAVATIONSOYEA
5.'V'° Off P DEMOUTION OR CONSTRUCTK>N Of
STRUC OVER 3 STORIES IN HEIGHT
'~ ,
'-STi:,tJG-TION--.-W-HH-HER S~F4EP+ttRElN-OR,NOT. t ALSO AGREE TO,$A\'.f: INDEMNIFY AND
KEFP HAf!MLESS Tt{E CIT)' 6PQAflL$1JSP,:A,~Alf'IST ALL uP;a1urlE~. ,uooMeNT$. COS1'$"" M~
;E)(ff"NSES WHtGH-tMV-IN·AN¥ WAY~£'. AAiAINST SAIO"CfH' IN CONSEQUENCE OF THE -
,GRANTING OF-THIS -PE.AMIT -. _" ' -. --ev ~ D
APPROVE~)
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TYPE . DATE INSPECTOR ' BUILDING .
FOUNDATION '
REINFORCED STEEL '
MASONRY ;
' GUNITE OR GROUT '
SUB FRAME □ FLOOR □ CEl~ING
SHEATHING □ ROOF D SHEAR
FRAME ' EXTERIOR LATH
INSULATION I
INTERIOR LATH & DRYWALL I .
PLUMBING I
□ SEWER AND BUCO □ PUCO
UNDERGROUND □ WASTE □;WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST .
I
□ WATER HEATER □ SOLAR Wjo\TER
I
ELECTRICAL . ..
I
□ ELECTRIC UNDERGROUND D"UFFER
ROUGH ELECTRIC i ,.
□ ELECTRIC SERVICE D TEMPORARY
□ BONDING □ POOL ' ' i
MECHANICAL ' □ DUCT & PLEM., □ REF. PIPIJIIG
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS .
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS.M3OVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
-
-l '""' VD '·~ ' I._,,\~
FIELD INSPECTION RECORD
,REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SO!LS COMPLIANCE
PRIOR TO
FOUNOATIO~ fNSP
STR[XTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOL Ts
SPECIAL MASONRY
PILES CAISSONS
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