HomeMy WebLinkAbout2091 LAS PALMAS DR; MULTI-PERMIT FILE; CB931092; Permit~:#:I 81/.
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10/06/93 14:53
Pagi:. 1 _ of 1
B U I L D I N G
Job Address: 2091 LAS PALMAS DR
Permit Type: ELECTRICAL
Parcel No: 213-061-16-00
Valuation: O
Construction Type: NkW
P E R M I T
Suite:
Lot#:
Permit No: CB93:t092
Project No: A9301532
Development No:
4188 10/06/93 0001 01 02
Occupancy Group: Reference#:
C-PRMT
Status:
73,00
ISSUEI>
Description~ 125 A 3 PHASE PER PETERSON
619
Appli•:"d ~
Apr/Issue:
Entered By:
753-9182
iO/Ob/9:;
10/0t,/ '33
DC
INSP.~-
CLEARANCE-----1
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
' f~1'J>PUCATION PLAN ·CHECK NO.
City of Carlsbad Building Departllll!l'lt
2075 Las Palms Dr., carlsbad, CA 9201)9 (619) 438-1161 FSf. VAL.,__ __ ..,_ _______ _
PLAN CK DEPOSIT· ________ _
VAIID.BY __________ _
1. PERMl'r .IYPR DATE~------------
· A -LI Commercial D New Bu1ldmg LI Tenant Improvement
B -D Industrial LI New Building D Tenant Improvement
. C -D Residential D Apartment D Condo D Single Eamily Dwelling D Addition/ Alteration
D Duplex D Demolition D Relocation D Mobile Home O Electrical D Plumbing
O Mechanical D Pool D Spa D Retaining Wall D Solar D Other__, __ _
2. PROJECT INFORMATION
· ··Acldr~s Buudmg or Smte No .
FOR OFFICE USE ONLY
. CHECK BEIDW IF sOBMl'I IEO:
CJ 2 Energy Cales a 2 Structural Cales D 2 Soils Report CJ 1 Addressed Env~lope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
' ~~ :DESCRIPTION OF WORK
• 1 1 eren rqm jlPP 1can
NAME ~e;t::iN L../::!Vt:: $e:Jt-J
CITY gN~,!'ffffrf STATE (;A ZIP CODE q 2.o"J-3 DAY TELEPHONE 763 -q / f-;.. 4. APPilCAN't ON RACIOR DAGENl FORWN'I'RACIOR DOWNER DAGENI FOR OWNER
,//-l0Z7o
L1r_.lF ,4-J/, 1rJ
NAME~t:P~ '/3,J,.Jtt:::50<51c-ADDRESS '77~7 el'V~I/.Jl'H:) /.,1t)µA,e&:l
ZIP CODE q~ DAY TELEPHONE Cf31-
ADDRESS (.pZO
STATE C,,q
6. CDN'1 CIOR
ZIP CODE t:j l'ZCJ?, DAY TELEPHONE J) JP, -"2-J/-1 -3/pf/
ADDRESS 7737~1-1mtff) Mt)µJ&iree;t:J, . -~ NAME ~~ 13. /J16PB£.-
ZIP CODE qUJcJ9 DAY TELEPHONE C/3 l -0/ !b / Jl.:3 lo -Qr)3 Cl1Y C!AfUbfoA£) STATE CA
STATE LIC. # GB;laCltJ LICENSE CIASS 13 CI1Y BUSINESS LIC. # /'7<20~33
DESIGNER NAM£ ADDRESS .
CI1Y STATE ZIP CODE DAY TELEPHONE ~TATE LIC. #
1. wrnuams• WMPENSA.uON
Workers' Compensation Oeclarat1on: I hereby affirm that I have a cernhcate of consent to self-insure issued by the D1rector of Industnal
Relations, or ·a certificate of Workers' Compensation Insurance by·an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Ceruhcate of Exemption: I certify that m the performance of die work for which this permit 1s issued, I shall not employ any person m any manner
so as· to become subject to the Workers' Compensation Laws.of California.
SIGNATURE DATE
8. oWNER-BOllDER DECI.ARATION
Owner-Bmider Oeciaratlon: I hereby afhrm that I am exempt from the Contracto?s Ucense Law for the followmg reason:
D I, as owner of the property or my employees with wages as their sole compensation, ·wm do the work .,ind 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 is 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.).
D I, 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).
D I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031.5 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 file a signed statement that he is licensed pursuant to the
provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000.of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pemiit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATIJRE DATE
--· COMPLETE fflls SEci1oN FOR NON-RESIDENTIAL BU1LDING PERMI1's-oNtY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
DYES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
C YES D NO
Is the facility to-be constructed within 1,000 feet of the outer boundary of a school site?
DYES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF ocnJPANCY MAY NOT BE IS.5UED AFrER .JUI;Y 1, 1989 UNLFSS THE APPUCANT
HAS MET OR JS MEE'QNG THE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICFS AND THE AIR POLLUTION OONTilOL DIS'ffi.ICT.
9. WNSTROCIIDN mNDING .AGRNCY
I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1V11 Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUCANT CER1'll1cATION
I certify that I have read the apphcauon and state that the above mformauon 1s correct. I agree to comply with au city ordinances ana :State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above ~entioned property for inspection
purposes. I AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE cnY OF CA_RLS,BAD AGAINST ALL UABIIITIF.S, JUDGMENTS, CDSIS
AND EXPENSF.S WIIlCH MAY IN ANY WAY AallUE AGAINST SAID cnY IN OONSEQUENCE OF THE GRANTING OF TIIlS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLiCANTS SIGNATURE DATE: (? t7e-:c /9C/3
fa~w: Applicant PINK: Finance
iJ CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB931092 FOR 10/07 /93 INSPECTOR AREA TP
PLANCK# CB931092 ace GRP
DESCRIPTION: 125 A 3 PHASE PER .PETERSON .)
TYPE: ·ELEC
JOB ADDRE~S: 2·091
APPLICANT: LEVENSON,
CONTRACTOR:
OWNER:
REMARKS: MH/DORIS
SPECIAL INSTR~CT:
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
LAS PALMAS DR
BRIAN
PERMIT#
CB890380
CB890731
Cl3890847
CB911260
C:8911261
CB911262
TYPE
ELEC
ITI
CTI
PLUM
ELEC
MECH
CONSTR. TYPE NEW
STE: LOT:
PHONE: 619 75d3-:;;:;9182 _/ PHONE:
PHONE:
INSPECTOR _,:;,__ ________ _
STATUS
EXPIRED
EXPIRED
EXPIRED
EXPIRED
EXPIRED
EXPIRED
ACT COMMENTS
39 EL Final Electrical ~ ~&+Mlt1-L
-. ----..... -------------------------------------------------------
***** INSPECTION HISTORY*****
DATE. DESCRIPTION ACT INSP COMMENTS
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} Us'E BAU POINT PEifONLY & PRESS .HARD
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APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND·DECLARATIONS . " .. , ~-·~. ' ~· ··-".. . .. -·~ --. . ·-·-·
---_..,~ ' .. ac~ ·-";'_ ·_, :-·· •_ ·::· ~ .:. .. _-: · _w . e t· , . G]. · I ~a~eby affirm that I am-licensee! under u . . :prqvlalona.of. ci,aptar 9. (commenclng .. wlth
~-··· _. -.~tlon 7000) of Dlvlslo!1 3 of the Buslne~s
. 1-• ·.·and P.rofaaalona. Code, and my IJcense Is-ln i., _.Jui! jotCB.81)<j1effect:
. . -.. -'CARLSBAD BUILDING DEPARTMENT ' : ·. -· · · ·
·, : ·. 2075 Las P?-lmas E>r., ·barlsbad,-CA 9~00_9-19.15 (619) 43!3•1161 : -· --·· · -" APPl-lCAJION & .PERMIT. ·· ---· --· -·· --· · -· · ·
Ur:~, ' I• herep\f. 'aflirm--thai 1 .a~ ~~empt fro~ the -Co~trac-. • for's•Ucfose la'w tor ,the followmg reason (Sec. 7031 5 ,_~ Business aoa PrOfess1ons COde:.-Afly cit'/ Or county wh1Cfi te-
'J quires at permit to construct1 alter, 1IT1prove, demolish, or
I
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~ · .. .r,epair any structure,.prior.tojts issuance also requires the ap-
phcant for such permit to f!Je-.a-sI9n,ed statement that he is IIcensed pufsuant to the· ·proV1Smns of th6 contractor's • crcense Law (Chapter g:con:,menctnp'wnh·-section 7oog,of .I. 01yis1on 3 of the Businei~ a~d Piofe~s_mns:Code) bft~~l Is ex-·.· • .1 empt .t~erefro111 and ttie ~as,i fop~ralleg~d .exempt,o~. -AnY. • , .,
. ,1 .•. l'I9I111on of sicuon 7031'.S·~y an,3ppl1~an1.Jo~~.P,!rm,i-~ob•,. \ ( Iects lhe apphcanf to a civil penalty of not more than five hun· I dred dollars ($500). · . ... "-· . . -----,.
· . ', 1 I I; as.owneool the progerty; or.iny employ~es w1tl1 wages 1 ffi . . ,as·th.et('Sole compensation:-WIii.do the work, and.the struc-.. o· . ·. JUf~'i• 0_91 m\epd~d or offered for sal~JSe~. _7944, B9siQ1ss I .:, i. and -Professions ·Code. 'The C6plractor' s License Law,does 1 S-· · not apply to··_an'1ll'/O'~r of' pr.operty_Vlh9. builds. or'jinprove~ · !!! , ~ thereon-.and;\'lho .dpe~·~uc!J work. hImse!f,9r throug~;hIs· own · ! a:, .. employees,,provided.that such Improvements-are not-intend-I w ed or offered for ~ale. '.ll,f./l0We¥_er: the·o_ujld1rig 01·iiTJprove-.
:;;t:/rs lo...s I P~llha..S. ,=AV.ST.RD .... :THQMA~BROS~O: .. ·: -~. ~ /'. r-)1 L 3~17~~~rt . 8USINE$SLJ~ENS:e~ ••• VALU?I}. ~ l'EAMITN\JMBEB
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NE'R'S "IAME i . ' . -·· , . · ' . . ,1 OWNE,R'S Pl'IONE -~ ;,! i .::_ ,r· y· ~ -.· -A i' , . .{"'_{ f ?._ .. 1 .
.r-'Y.>• ~ " . "/'.> :_ 'f'-.i o--..A 4,-.: · 1-.,.,.:.,. ;,-(! .-.1.~ .... J 1.,.:.0~· coN:rAAtTofl' · ~ 1 ·1 • • --.---"'." sr,r,,TELICEN_se NO. _ _ _ . eu1rt}D ,' a. FOO:AGE .. v. \ ·n w ., 1-.'\ ~ L-A "'"-'.r-.. J(::, .. o-rr .. I r .> ... -. . , -~ _.,...,,. < V 7 /
.9WNER's MKiL1NG Aoo~~ss . . ..: f) ·. · · · . : · · · · -· ~..J -. J .4v,:---""., <.._.,.,. Vtsn+ v-';.,;JI · · O · · · -
· ?_;o 1 { · _: · kA { . r;.. J n J:'· . ---. _ -.. ~-s e.NER. • · · ... :-°EslGNE.R's PHONE -.-___ .. • . • ---.,...--. __ _ _ __ . _ . ~. _ .. . . , '. . . . . . . rt 7-, .. . u . -i LY:--_ Z-1 1 o
OESCRIP·Tl'ON OF WORK · {~2 / ~-.J:.._ ~-1 • 1/1 .. .. : : . . .·. · • ', · _t, · •. ·· ··~s•3 O•/' ")1"fsCroo·o1··01 . 'O? --. " i· _ .. -;; 'fr'-~:-f' ...... o/J~Z:/s~~ (--A sTATeuci;NsENo. ..,_-. ..,.,., • BldPmt. .... 16_0(
" J-. -/ .J PT . · ·Ct (ZCU I jC,_i: . · t-~:,c,..J " . . . -_ : · .. . .. .. • -• ·
•. ' '. , ' . . _· . .. ,·, . _. --FW FLA ELEV. , 1'10 OCC GP EDU, .
. ......__..., .A . · • _· \ .A A· ~ • t · ·• · .. _ ;:_.-. · ·~ ·· · -.. -,-STb'RIES • · · · · "' ... " • " · "' ·•· ·· .. .. · ' •
,,. . , -r-r :IL._ :. V\.J~,·--. 'M,_,;,..-;,.~-:r-·.·· ,,. vO NO:
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Z ment·ls sold withm one·year of completion. the owner-builder I 3: -· w,11 have the·burden of provtng that' he did not bullaor'iin· ,
cENsus TRACT l PARK 1NG.sP...:t:·E Res uN1-fs GRAOJNG PEFIMIi issuEo 1· A·EoE'\/El.c;>PMENT ; ·.· • tvPE • •· •• '"6cc Lo:il.c> · Ft R"e s·PR · -• · --· · ·· •• ·
· -•· ,; ·c •• •· •, · ---, AREA . CONST
_ _ _ _ _. __ , __ _ _ . • . '.. _. 1 :-y.,O. N, .q. . . . 1y O .NO. . . .• _ .. ~ . Y-0 -NO . Not .Valid. l/nless M~chine Certified. . 0 prove for the purpose ot sale). ·
.-I J-r .-.s·0oyine(_rif \he,prope~y •. am el_c).us1y~ly:contrac\ing ·I .,,_ :. with 11c~nsep co.ntr.a~tors to _c;onstr~ctt]le ptoIect (Sec. 704§. 1 Business and Professions'Code:-Tl'le-Contraclor's License ,. ·• Law,does.jio't.apply to:ari:owiie'r'of•property who builds' or fm-I . ,.proves thereon.-and wHo·contracts·for·each projects with ·a 1,
, , contractor(s), license pursuant to the Contractor's License '·J · .. L~wh_· .· '.· ':· . ' ... _ . ' • • . _ • g 1 ,f1 As'a homeowner l.ani ,mprovmg rt1Y'h'ome, and~He.follow· . P,
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mg Con~itfOmLexist:.. • ..: '· -· __ : ... ~ .. : .... --~· ..,..:.-,4 1. The work ,s,bemg\performed<pr,o/•to.sale. ,
2. I have hved ' in ·my home •for twelve months I ·priofto co,iiplelio'rl of thfs wofk: · · · i 3. I have not claimed this exemption during the Jast three.years, ,I,,
.D -1 a'm'ex~mpi un~er Se~. _______ • il & P·.c. l
• for this reason·_____________ ·t .•,'.· ----i . I -~... L
D 'I hereby affirm that I have·a certificate of consent to
sell-insure. or a certifiCate of Workers· Compensation ln-
sUrance. or a certified ci:>py there~f (Sec: 3800: Labor Code)
POLICY N9:
COMPANY
CJ Copy is filed with·tt,,I_' city , '
D Certified copy iS hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This secflon need,not be completed If the permit
is for one hllndred dollars ($100) or less)
I 1·
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' D I certitY th;t in the performance of the work for which ~
this permit ls issued, I shall not employ any person in any r
• manrie[ so ~s to become subJl,'Ci to the Workers· _Campen-J
~at~.O? L_aws of-~allforni~. , l>
NOTICE TO APPLICANT: If. after ma~ing this Certificate f
of El!:ehlption.,you sh,ould become subject to the Workers· ·~
Con'lpensat1on provisions of the Labor ·Code. you must A
f9rthwith comply with such provisions or this permit shall t
be deemed revoked. i
/j .,
· 0 I hereby affirm that there is a construction lending IJ ffi ~ agency for the performance ?f the work fo_r which !his per-J r
. I
~ mil ,s issued (Sec. 3097, Civl\ Code) . ; 'J.,
~ Lende(s Name. ---• (
Lender's Address ' L1
,. ·-~ M • '
'
QTY_-· , · Pl:.UMBING PERMIT -ISStJ~ : -··f.SCJ. · OT~.· ME~MANICAl, PERMIT· ISSIJE; · . /& t:)0 ·"··--· ·Sl:JMMARY/AGCOUNT NUMBER · ·•
EA,tHFIXTURETR'AP ..... ___ l~~T/f!-1,.fU_R~._DUCT.~UP_T0:10_0:0Q!)BT!J:· __ ... • . tl~IUJINGPER!"IIT_ • _uu_i·B1U·UU·00-8220 __ . • ••.• __
· · EI\CH BUILOING S~WER·· · · ·• , ; OVER )00,000.BTU SIGN;PERMIT 001-810-00'00'8221
c~. ca. --~·
0. 0.
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... ,_ 'EACH.WA'TER H~T.E.R0AN[!i,0f) VENT •• ; , . • BOILE·R/CQMPRESSOR UP TO 3 HP ·· PLAN CHECK· 001·810=00·00'8891'. --"''
EACH GAS SYSJEM I TO 4 o_u:TLETS BOILER/CO~Pf)ESSOR 3-15 H.P TOTAL PLUMBING 001-810-00·00·8222 1 1
EACH GAS SYSTEM 5 OR MO RE . METAL FIR~P.LACE ELECTRICAL .OQ1-810·00·00'8223 / -~ ,-.•
-E~CH INSTAL., ALTER, REPAIR WATER PIPE . · VENT FAIi! SINGLE DUCT ' · · · MECHANICAL 001-810,00-00-8224' .• · ·
EACH VACUUM. BREAKER • . MECH EXHAUST HOODIDUCJS MOBILE!-iOME 001·810·00-00·8225
· WATER SOFrNER RELOCATION "riF EA FURNACEiHEATER SOLAR 001-810-00·00·8226
· EA9H ROOF DRAIN pNSIDE) . .. DRYER VENT . ---. STRONG MOTION . . . 880-519-92-·33-· ..• -----. · • -
,. TOT/iL MECHANICAL FIRE SPRINKLERS 001-810-00·00·8227
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TOTAL PLUMBING I -. .. PUBLIC FACILITIES FEE 320-810-00-00·8740 ... .. .Q
· · _:c;· . , BRIDGE FEE 360-810-00-00·8740 · QTY. ELECTRICAL PERMIT· ISSUE \ -0,'.I'\ QTY. MOBILE HOME SETUP P RK ·1·N L . -. -·. . ~ L/ A · • IEU (AREA )
NEW CONST EA AMP'SWT BKR CAR PORT t TIF 312·810-00°00·8835
1 PH 3 PH __ AWNING LA COSTA TIF 311-810·00-00-8835
-EXIST BLb·G EA AMP/SWT'!BKR GARAGE FMF
1 PH--3 PH -LICENSE TAX 001·810·00-00·'!l162 •
_ . REMODEL'ALHR PER CIRCIJIT .. // _... MFF 880-519·92-57
TEMPPOLE 200AMPS :
OVER 200 AMPS __ . _ ••
fEM
0P oc·cuPANCY (30 DAYS) , ----_,,
CREDIT DEPOSIT / /
. • TOTAL E,LECTRICAL . . ! l / L .. -' .. . TOTAt ' ' • •. T~TAL FEES P;YABL:_1/ I / /..,;.. ~. ..
I HAVE CAREFULLY EXAMINED THE CQMPLETEO ·"APPLICA:flON AND PERM ff" ANO DO HEREBY EJ<p,ration. Every permifissued by the Building Olltcial undarthe prov,s,ons of th,s •· fJN tiA 1 AM:T IS REQUIRED FOfl EXCAVATIONS-OVER · ·
CERTIFY UNDER PENALTY OF P!:RaURY THAT 'ALL INFORMATION HEREON INCLUDING THE Code shall expire by tim_,tatron •nd become null 8nd void If the building or work 5· "DEEP~ NO OE...,,. ITIOIH>R C0NSTROCTION OF · · . authoriz~d by such ~rmIt ,s not commenced wIth,n 180 days from the date ol-such ,.,..... ..,.,.._ OECLARAT.IONS ARE TRUE ANO-CORRECT AND I FUITTHER CEAT-IFY AND AGREE IF A PERMIT l& permit, or· lf tha building or work autnor,zed by such permit 15 suspended or TfiOC,"""' OYER 3 STORIES IN HEIGHT · ·
ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON· abandoned at any time after..lM. worl< is.commenced for a <*n"" of 180 ....... . . -" .I. . 6
STRUCTK)N.WHETHERSPECIFIEDHERElN.ORNOT. IALSOAGREETOSAVEINOEMNIFYAND A -~ /\PP.A~ __,, (/ 1/i KEEP HARMLESS THE CITY OF CARL$8AD AGAINST All ·LIABILITIES. JUDGMENTS. COSTS AND tPP~t,.1 . E · · OWNE · C~NTRACTQ,RO • -~ • .. • · . .-/ ? 0. ,';i. .
EXPENSES WHICH-MAY fN ANY WAY ACCRUE AGAINSJ"SAIO CITY IN CONSE6UENCE OF THE ·. ' ·-;Y~HOl:i~ Q .· ~ 9::•) f.:':r ,lt, 1 ,U
GRANTING OF-THIS PERMIT. . ·. . . . I '.. -· ' ... ' -~ •. ·:-' I . '
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TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
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SUB FRAMED FLOOR D CEl~ING
SHEATHING D ROOF D SI-JEAR
FRAME
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EXTERIOR LATH J
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INSULATION I
iNTERIOR LATH & DRYWALL I
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PLUMBING i
D $EWER AND BUCO D P(./CO
UNQERGROUND D WASTE· D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN ' I
GAS TEST I
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D WATER HEATER D SOLAR WATER
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ELECTRICAL I
. •·
D ELECTRIC UNDERGROUND orUFFER
ROUGH ELECTRIC ' I
D ELECTRIC SERVICE D TEMPQRARY
D BONDING D POOL ' I
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MECHANICAL l
D DUCT & .PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
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VENTILATING SYSTEMS i
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DATE INSPECTOR
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ITEMS ABOVE HA V,E BEEN APPROVED.
FINAL ! i ' ' \: . '.
PLUMBING ' 1· -.. -.... ·.
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MECHANICAL I /. I) Lt A )
GAS . r /A./ rr ' BUILDING I -V II ~ ..
SPECIAL CONDITIONS I 1 .
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FIELD INSPECTION RECORD
· 'REQUIRED SPECIAL INSPECTIONS
INSPECTION·
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
·sTRUCTURAL CONCRETE
OVER 2000 PSI .
PRES TRESSED
CONCRETE
POST TENSIONED
CON(::RETE
FIELD WELDING·,
REQ. IF I INSPECTOR'S
CHECKED APPROVAL DATE
($ ~1t:> 5·80 • 4'T ..
INSPECTOR'S NOTES I
I HIGH. ~l'~ENGTH. I I I I ~
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