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Home My WebLink About2557 EL CAMINO REAL; MULTI-PERMIT FILE; CB960644; PermitB U I L D I N G P ER M I T Permit No: CB:960644 04/10/9-6 09:16 Pro,ject No. A9,600901 Page I -of I Development No: Job Address :'2557 EL CAMINO REAL Suite-_ Permit Type: SIGN 69ff2 04/10/96 0001 -0.1 02 Parc-el,.No: 156-302-15-00 Lot#. 41-7-00 Valuation:, 27F000 Construction Ty-1%-"-RqN Ocdupancy Group; Ref erenc-e#: - Status, ISSUED. Description: REPLACE BULLOCKS SIGN WITH Appliedi_04:/09/96 PIACYS WITH ELECTRICAL- A:pr/Issu,-e:' 04/10/S6 Entered ' By: MDP Appl/Ownr WESTERN SIGN SYSTEMS 616- 736--6070 16,50 LINDA VISTA DRIVE SAN MARCOS, CA. 92069 Fees Required -A Fees-Coilected Credits ---------- ------------------- Fees*- 437, 0 Tse Adjustments: 0 Total Pt.00 t� Total Fees: 4 3 '(*,�o 0.00 437_0-0 Fee description u4ts fee Data - ---------------- Building Permit, 265,00 Plan Check 172.00 -37. 0,0 4�3 SIGN TOTAL j INCOIIPORATED 1952 P� zz m, 41 I E.-A A H C E CITY OF CARLSBAD' 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161- A PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 From List 1 (see back) give code of Permit -Type: --------------------------------------- For Residential Proiects Only: From List 2 (see back) give Code of Structure -Type: Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION PLAN CHECK NO. EST. vAL 2 G� PLAN CK DEPOSlffl FOR OFFICE USE ONLY AaareSS . bunaing or suite No. Aft est Cross(;&t Y7 b Reif LEGAL DESCRIPTION Lt o: Subdivision Name/Number Unit No. Phase No. CHECK BELOW IF SUBMIT FED: ❑ 2 Energy Calcs ❑ 2 Structural Calcs ❑ 2 Soils Report ❑ 1 Addressed Envelope DESCRIPTION OF WORK J Sfv3-LL -� )C e- G Y SQ. FT.. / # OF STORIES J,U .9 I- L- , S 15" fv # OF BEDROOMS A. L"IMA.M.l rrAU-YLJ % k1L UILICLCIIL LLVHJ aPPucUll L1 NAME (last.name first) Mo y-Clo6t !g ey e,. ADDRESS C% V-7 6� !� Cr CITY 6-4't✓ M Ii'+,f 4S STATE ZIP CODE9,1-e'� DAY TELEPHONE Ire, y is ✓r1 .t. u- _ Vlil\1 ava �.vi\aau-a�.ava uvr\a. u.-ava:a\a ai v��a\a.aa NAME (last name first) r'Y) /Z tt e.ADDRESS 9 " CITY STATE C C� ZIP CODE �f�! G Gj DAY TELEPHONE V ' 841— PROPERTY OWNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE # OF BATHROOMS 0. CX)N"1RAt1Ux J I ` / NAME (last name first) C.t,i eS-J .� ), J 1 J ;v 99 S J"y,Aj ADDRESS / fr CITY STATE C1 ZIP CODE / y DAY TELEPHONE -79 4 '7 b STATE LIC. #649k�- LICENSE CLASS C4.S— CITY BUSINESS LIC. # DESIGNER NAME (last namefi—rstj— ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to se -insure issued by the Director of Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or arr exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. Q. INSURANCE COMPANY la+9)pi & m,p, X-AI . 4! POLICY NO.W?6�-A i e3 Y%/EXPIRATION DATE I I / -- 'q 4 so as to become subject to the Workers' Compensation laws of California. SIGNATURE DATE Owner -Builder Declaration: I hereby attirin that I am exempt from the Contractors Licensetaw lot the tollowing reason: ❑ I, as owner of the property or my employees with wages as their sole compensation, will do the work and 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.). ❑ 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). ❑ 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENJIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley -Tanner Hazardous Substance Account Act? ❑ YES 11 NO Is the applicant or future building occu�pant required to obtain a permit from the air pollution control district or air quality management district? ❑ YES '$�NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? ❑ YES 5L NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE LSSUED.AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEEIING THE REQUIRE1 UHM OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. LENDER'S NAME LENDER'S ADDRESS relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon -the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARmiEst THE CITY OF CARISBAD AGAINST ALL LiABux=, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMTT. OSHA: An OSHA permit is required for excavations over 5V deep and demolition or construction of structures over 3 stories in height. 1s1,1rJ 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 aband ged at anytime after the work is commenced for a period. of 180 days (Section 303(d) Uniform Building. e).. APPLICANT'S SIGNATURE _ _ ,� DATE:' co CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB960644 FOR108/23/96 DESCRIPTION: REPLACE -BULLOCKS SIGN WITH MACYS WITH ELECTRICAL TYPE: SI'GN JOB ADDRESS: 2557 EL CAMINO REAL _APPLICANT: WESTERN SIGN SYSTEMS CONTRACTOR: OWNER: REMARKS: MW%ED/736-6070 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- PERMIT# TYPE FAD9.6013 FADD CB960643 SIGN INSPECTOR AREA PLANCK# CB960644 OCC GRP CONSTR. TYPE VN STE: LOT: PHONE: 619 736-6070 PHONE: PHONE: INSPECTOR STATUS ISSUED ISSUED CD LVL DESCRIPTION ACT COMMENTS 18, EL Signs ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS B U I L D I N. G P E R M I T Permit No:, CB'9,6 0 6 4 3 04/10/9-6 09:15 Project No: A9,600900 Page I of 1, Development Nof ,Job - Addre-ssi 2557,EL CAMINO'REAL Suite - Permit Type; SIGN -6662 0j. Parcel No: 156-302 15-00 Lot*.- Q2 Valuation: - 31,000 Constru.ction'Type:,.*N 48 0 - 0 0 Occ-gpancy Group: R-ef eren-ce#: Statu5: ISSUED Description: RE -PLACE BROADWAY WITH MACYS Applied: Oi0'0/96 SIGNS WITH ELECTRICAL Apr/Issue: 01/10/96 Entered By: MDP, Appl/Cvwnr WESTERN SIGN SYSTEM 619 7-3.6-6070 1650 LINDA VISTA DRIVE SAN MARCOS CA 92069 **-,k Fees Required Fees co�, — — — — — - — — — — — — — — T'�w_ -- — — -- Fees: 4 so lO Adjustments: o T o flei Total Fees )948.00 Total �arq 'n ua� , t F-e-e' des,cription s ----------- Building Permit Plan Check Q� SIGN TOTAL WCORFORATFD' 1915-2 ected & Credits -------------- i t 0-0 46i"� 1. 00'' 6i'\ V 480.00 - it Ext fee � D�ata- - ---- ----------- 189.00 4 8.0 -.'o 0 D ATE 41k 0"� C ANCE CITY OF CARLSBAD, 2075 Las Palmas Dr., Carlsbad, CA 92009 (6,19) 438-1161 f T PERIVffr APPLICATION �- City of Carlsbad Building Department .2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 From list 1 (see back) give code of Permit -Type: --------------------------------------- For Residential Projects Onty: From List 2 (see back) give Code of Structure -Type: Net Loss/Gain of Dwelling Units PLAN CHECK NO. GAP (; q3 n wL; ' r 42 s� a. a 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address Building or Suite No. Nearest Cross Street LEGAL DESCRIPTION t No. Subdivision Name/Number Unit No. ase o. ❑ 2 Energy Calcs ❑ 2 Structural Calcs ❑ 2 Soils Report ❑ 1 Addressed Envelope DESCRIPTION OF WORK / .17 ,S 4-4-) j S / vk k � f �%3 A L+�. jS ° 1 % � u m I n 4 -e A SQ. FT. 72 ► Cam, # O STORIES is # OF BEDROOMS _ # OF BATHROOMS- 3—CON'TAG-1 PERSUN (it differentfrom applicant) NAME (last.name first) ADDRESS STATE ZIP CODE DAY TELEPHONE NAME (last name first) 4A ) Sy rt ADDRESS of V-1 D,,. Je CITY/'h STATE ZIP CODE -jam/, DAY TELEPHONE MMUrTOWNMI NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE o. c.urrinn�.iux NAME (last name first) JJPS��eAJ S� t 5 +-> SyS' ADDRESS %!rS G1 �-Ji7 c/F} /%r`S - �} tT- CITY -s STATE 64l ZIP CODE %d/,I DAY TELEPHONE 7J- 4 7 0 STATE LIC. # 4 5V4e LICENSE CLASS C" �i CITY BUSINESS LIC. # DESIGNER NAME (last name first _ ADDRESS CITY STATE ZIP' CODE DAY TELEPHONE STATE LIC. # Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to se -insure issued by the Director of Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Directors �of ))the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCECOMPANYLW)ir, C'c- P:1-ItlS`, G1 POLICY NO444fig/c-..3rLAxPIRATION DATE so as to become subject to the Workers' Compensation laws of California. SIGNATURE DATE 8. OWNER -BUILDER DECLARATION Owner -Builder Declaration: I hereby affirm that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property or my employees with wages as their sole compensation, will do the work and 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.). ❑ 1, as owner of the property, am exclusively contracting with licensed -contractors to construct the project (Sec. 7644, 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). ❑ 1 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). -SIGNATURE DATE COMPLE IT THIS SEC711ON ENTIAL BUILDING PERMITS ONLY: 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? [3YES UKNO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? ❑ YES PkNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? ❑ YES 9NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1,,1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3(J97(i) crni cone). LENDER'S NAME LENDER'S ADDRESS certify at I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARISBAD AGAINST ALL LIABILITIES, JUDGMI NTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF TFUS PERM[T 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 abagooned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANT'S SIGNATURE DATE: " s• w 7 _ _ ,� _� LJ % J 10 h j i _ _t• f" Ie - CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB960643 FOR 08/23/96 DESCRIPTION: REPLACE BROADWAY WITH MACYS SIGNS WITH ELECTRICAL TYPE: SIGN JOB ADDRESS: 2557 EL CAMINO REAL APPLICANT.: WESTERN SIGN SYSTEM CONTRACTOR: OWNER: REMARKS: MW/ED/736-6070 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- PERMIT# TYPE FAD96013 FADD CB960644 SIGN CD LVL DESCRIPTION 38 EL Signs INSPECTOR AREA PLANCK# CB960643 OCC GRP CONSTR. TYPE VN STE: LOT: PHONE: 619 736-6070 PHONE: PHONE: INSPECTOR ol STATUS ISSUED ISSUED ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS LICENSED CONTRACTOR'S DECLARATION,. - I hereby affirmthat,l,am licensed•under provl-' sions of thaptei 9 (commencing with Section 7000) of division" 3 of the Buslness'and Profes- slons Code, and my license is in full force and ef- fect. .OWN ER -BUILDER• DECLARATION 01 hereby -affirm that'I-am exempt from the Con- Aractor's Licehse•Law for the -.following reason' .` (Sec. 7031.5 Business and Professions Code),.Any city or county which requires a permit to, con- struct, alter, improve, demolish, or repair any structure, prior to, its issuance also requires ttie applicant for such permit to file a, signed, state-. . merit that he is licensed pursuant to the.provi-' sions of the Contractor's License Law (Chapter 9 'commencing with Section 7000 of Division,3 of ' the Business and Professions Code) or that4s ex- empt therefrom and the basis for the alleged ex- emption. Anyviolatiori otSectlon-7031'.5 by an•ap- piicant for a •permit subjects the applicant to -a civil penalty of-nofImoni than• five hundred dollars' ($500). pl, as,owner of the property, or -my employees with, wages as their sole compensation, will do + the,work; and the Structure' is not intended or of- •_ fered for sale'(Seo.7044, Business,and''P.rofes- sions Code: The Contractor's License Law does not apply to,ari owner of property who builds or - - Improves thereon and -who does such work himself orthrough-his own employees, provided i that such improvements are not intended, or of- fered for sale. If, however, the building or improve- ment is.sold within one year of completion, the owner-builder will -have the burden of proving that j he did not build or improve for the purpose of I -sale). 01, as owner of the property, am exclusively•con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's •License Law does not ap- ply to an owner of property �-ho builds of im- proves thereon, and who contracts for such pro- jects wl{h a contractor(4,lioense pursuant to•the contractor's License Laiy). n� I am exempt ec., B. & P.C. for this reason under' Da1et - r 1 &—.1 Owner WORKERS' COMPENSATION DECLARATION I hereby affiIm that I have a certificate of con- sent, to self -insure, or a certificate of Workers' ' Compensation Insurance, .or a- certified .copy thereof (Sec. 3800, Labor Code). POLICY NO. COMPANY 'DCopy is filed with the city. ❑Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mit is for one'huhdred doliars•($100) or less). -'I-certify that in the performancevf the work,for . which this permit Is issued, 1 shall -not employ any Won in any. manner so•as to Become supiectto Workers' Compensation, Laws of,California., c N0310E f0 APPLICANT: If; after making.this"Cer tificate of Exemptlon; you should become subject' to the Workers' Compensation,,provisions of -the Labor Code,,you gpust forthwith comply w1th'such provisions of this permit shalt be deemed revoked. CONSTRUCTION LENDING AGENCY Thereby afhrm•that there' is'a constiuction.len- ding.agency for the,; performance of the work'for which this permit is Issued (Sea.3097., Civil Code). APPLICATION & PERMIT ,USE BALL POINT FEN ONLY"' 1200 ELM AVENUE (714) 438=5525 APPLICANT'TO FILL IN-INFOR'- MATION WITHIN -RED LINES. .lP NM • / JOB -''ADDRESS AV. ST -'OWNER, 1DATE`d F_-APPLIC'ATION BBUS'..r,LIIC'ENSE -PERMIT NUMBER - - - OWNER'S,PHONE : PRIME CONTRACTOR - : -t. -,fit Vea. 'STATE LICENSE ,OWNER'S MAILING ADDRESS - - z ,- - - CO NT,RACTOR'S, ADDRESS � "� CONTRACTOR'S' - - - - _ - /* 1 '• - -- -, -'" •.,' Not WOW Unless Machine Crib ad " LOT' .-BLOCK + GS•UBDYV ISION "" • - .� _ ASSESSOR'S PARCEL. NO. - •d SIGNER - - - - 'STATE �LICENSE, =DESCR IJPeT10N'•�O F W/ARK '- _ �/► f. - ,'y: - - `.-. �.%/G��^, •(�(✓IG` D,ESIGNER' S ADDRESS DESIGNER'S PHONE -CENSUS; TRACT. GP'L•ANp USE - • 'USE ZONING • RES. UNITS. - - PARKING SPACE Ca+ -NUMB # ER OF STORIES BLDG 'Sq.-FT.' 'BLDG OCC. GP STANDARD PLAN"-# PLAN'1 D # TY.P ECONST - •'OCC. LOAD ;' - •, - AMT:' `MECHANICAL PERMIT AMT: V INSTALL'FURN.000TS-.UP`T0100,000:BTU 'OVER' 100;000 BTU" BOILER/COMPRESSOR UP TO 3 HP BOILER'/COMPRESSOR-3-15 HP BOILER/COMPRESSOR'16-30 HP'EACH VENT FAN SINGLE DUCT +' " VALUATION : MECH EXHAUST — H.00D/DUCTS r v `= QTY. PLUMBING PERMIT , " EACH'FIXTURE"TRAP EACH BUILDING SEWER, •EACH WATER HEATER AND%OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS' ' EACH•GAS SYSTEM 5 0WM6RE ,. INSTAL, ALTER, REPAIR WATER'PIPE EACH LAWN SPRINKLER SYSTEM WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I SIGN -PERMIT ' TOTAL PLUMBING : 'CONTRACTOR TOTAL MECHANICAL CONTRACTOR PLAN CHECK ALL INCLUSIVE PERMIT QTY. ' ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT i'"'" - AMT, -TOTAL PLUMBING ELECTRICAL NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL 1*PH .25 r 8 PH PORCH MOBILE HOME _ EXIST BLDG EA AMP/SWT/BKR 1 SET-UP SOLAR 1 PH .25 3 PH RAMADA, CABANA REMODEL/ALTER.' PER -CIRCUIT FENCE DYER 6' TEMPPOLE 200AMPS TOTAL MOBILE HOME M(CO-FILM OVER.200 AMPS TEMP OCCUPANCY (30 DAYS) , Issue 2:00' TOTAL EL"ECTRI-CAL ao CONTRACTOR'' TOTAL FEES PAYABLE - A HAVE' CAREFULLY EXAMINED•THE COMPLETED "APPt_ICAT ION AND PERMIT, AND DO - HEREBY CERTIFY THAT•ALL- INFORMATION' HEREON -IS TRUE AND•CORRECT.AND`I - FURTHER CERTIFY AND AGREE IF-A.PERMIT IS ISSUE6,'TO COMPLY WITH ALL CITY, COUNTY AN'D STATE -LAWS GOVERNING BUILDING CONSTRUCTION-, WHETHER SPECIFIED HEREIN'OR•NOT'..I, ALSO -AG FIEE'TO-SA'VE-INDEMN IFY AND -KEEP HARM- . LESS'T,•HE CITY OF CA 13 L:SBAD- AGAINST ALL -LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY. IN, ANY WAY AC_ CR UE'AGA INST'SA ID, CITY IN CONSEQUENCE - OFTHeGRANTING-OF-TH'IS'PERMIT; •• -»- - .E SCHOOL FEES: 'AN OSHA PERMIT IS REQUIRED FOR EXCA VAT.IONS OVER- - • •5'-O" DEEP AND DEMO.LITION OR CONSTRUCTiON OF - STRUCTURES-OVER3-STORIES IN HEIGHT [APPLICA�TUR2� ' OWNER❑ CONT,RACTO AGENT ❑ 'BY PH6NE'0 APPROVE -- DATE ` SITE _ OWNER: PERMIT NO: [7 t✓ " O l• Z7 ADDRESS: - - - FIELD INSPECTION RECORD INSPECTION. DATE - INSPECTOR - -- LNSP.ECTOWS-NOTES . l { - WOOD FLOOR FOUNDATION•-'FORMS • SET BACK • TOILET UNDER FLOOR PLUMBING" UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR , SLAB FLOOR UNDER SLAB PLUMBING -FOOTING • FORMS • SETBACK • TOILET - OK TO• POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK • PLACE INSULATION INSULATION OK + PLACE WALLBOARD WALLBOARD OK • PLACE TAPE EXTERIOR LATH OK O . PLACE STUCCO FIREPLACE _ DAMPER &STEEL - PLATE TIES/HEIGHT OF CHIMNEY 'OTHER _. _ TEMP POWER (POLE) SEWER - GAS TEST - SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER - - SHOWN • FRAME • PAN - - FINAL INSP •BY BLOG DEFT- OTHER-DEPT'S,F3EQ COMPLETED ELEC METER -PERM -TEMP _ - - GAS METER -PERM -TEMP _ _ CER1' OF OCCUPANCY lSSitiIED`