HomeMy WebLinkAbout2665 Levante St; ; 80-800; PermitLICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provi-
sions of Chapter 9 (commencing with Section
7000) or Division 3 of the Business and Profes-
sions Code, and my license Is In full force and ef-
fect.
OWNER-BUILDER DECLARATION
DI hereby affirm that I am exempt from the Con-
tractor's License Law for the following reason
(Sec. 7031.5,Buslness 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 the
applicant for such permit to file a signed state-
ment 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 that Is ex-
empt therefrom and the basis for the alleged ex-
emption. Any violation of Section 7031.5 by an ap-
plicant for a permit subjects the applicant to a
civil penalty of not more than live hundred dollars
($500).
□ 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 of-
fered for sale (Sec. 7044, Business and Profes-
sions Code: The Contractor's License Law does
not apply to an owner or 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 of-
fered for sale. II, however, the building or Improve-
ment Is sold within one year or completion, the
owner-builder will have the burden of proving that
he did not build or improve for the purpose of
sale).
::u, 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 or property \•ho bullds or Im-
proves thereon. and who contracts for such pro•
jects with a contractor(s) license pursuant to the
contractor's License Law).
I am exempt under Sec _____ B. & P.C.
for this reaso,,._ ___________ _
Date Owner
WORKERS' COMPENSATION DE
I hereby affirm that I have a certi~a
sent to self-Insure, o• a certificate d
Compensation Insurance, or a cer1
thereof (Sec. 3800, Labor Code).
POLICYNO. 't-~ COMPANY I □Copy Is filed with the city:
D 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 hundred dollars (SHXl) or less).
I cer1Ify that In the performance of the work for
which this_permlt Is Issued, I shall not employ any
person In any manner so as to become subject to
the W01l<ers' Compensation Laws of California.
-'ll)TIC~ TO APPLICANT: II, alter making this Cer•
~cate of Exemption, you should become subject
to the W~kers' Compensation provisions of the
~r O.~ you must forthwith comply with such
pro~slops or this permit shall be deemed revoked.
:.0.
!
eoNSTRUCTION LENDING AGENCY
I h#bY affirm that there Is a construction len-
ding agency for the performance of the work for
Nhlch this permit Is Issued (Sec. 3097, Civil Code).
CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE (7 14) 438-5525
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
"'' ' ' :Ji I~;. ~ HO. JOB ADDRESS AV. ST. !DATE OF APPLICATION BUS. LICENSE PERMIT NUM&ER
I 216 ~ 5 I 1r~ ai;i t F Is 1 . I
RD IJ,bC;?;o I I I I I I I I I I I I I I I I Lt I I ..i. 10~10~80
?'tJ~btl OWNER OWNER'S PHONE ~J{c<:f'~/!-o a~;;~ l I 'IDGI , .... ,,.
Richard v. Bortolot, Jr . C .....,1_
OWNER'S MAILING ADDRESS 1275°?;0=, A--l/cs1A
CONTRACTOR'S
301 Chapalita Dr., Encinitas, CA. _i"H~..., !½'~(; -,~r-... -~,
LOT BLOCK I SUBDIVISION A ASSESSOR'S PARCEL HO, r:, ll DESIGNER ST ATE LICENSE
309 L. C. South 4, 1 21@ -2210,3n ,
DESCRIPTION OF WORK
2 storv sin II le famiv ' residence DESIGNER'S ADDRESS DESIGNER'S PHONE
CENSUS TRACT GP LAND USE ZONING I RES. UNITS
IPAR::f_fV I NUMBER VES
Not Valid Unlflss Machin, c.rtifiad
BL:Wrt B~~1 occ. GP I ST AN OARD PLAN II i PLAN I D 11
80-800 ITYv0~5J I occ. LOAD I
\
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AM1. , -JT EACH FIXTURE TRAP "')/V'.,, I INSTALL FURN. DUCTS UP TO 100,000 BTU~ Lk _.. ..
' EACH BUILDING SEWER . r . ..-OVER 100,000 BTU I . .
l EACH WATER HEATER ANO/OR VENT ...,..,... -BOILER/COMPRESSOR UP TO 3 HP ' 7 EACH GAS SYSTEM 1 TO 4 OUTLETS 9\/..-BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP ,.
EACH INSTAL., ALTER, REPAIR WATER PIPE J/ VENT FAN Sl~!GLE DUCT lf. V~/OJ/1)0 EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS I
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT
,
I .-iA'I t, ,(}, t)
,JI' ~ ~ ~-~ i3 (I I ,,, .. a c,;>.o o SIGN PERMIT I ___, r ~
TOTAL PLUMBING ~-TOTAL MECHANICAL // .Pf PLAN CHEC!Lb__,/ JtJ/.5't#--J59!"f 1(. /1L). q,.l,,
CONTRACTOR CONTRACTOR ALL INCLUS~E PERMllf . --·'., t--
ELECTRICAL PERMIT AMT. TOTAL PLUMBING 1~LJ..-1""'"'
QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL 1-#J.. "t ...... J,---
NEW CONST EA AMP/SWT/BKR /'00 -Y...r.-AWNING MECHANICAL I /1 l .All'J
1 PH .25 3 PH PORCH MOBILE HOME I I ' . I
EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR _, I I I I
1 PH .25 3 PH RAMADA, CABANA ~ J .. ~-... /?!~.£...-) I . I r,.:>i&b . ..,. REMODEL/ALTER PER CIRCUIT . ., FENCE OVER 6' d I I {. I
;IJ TEMP POLE 200 AMPS -f.✓ TOTAL MOBILE HOME MICO·FILM I . I I I
OVER 200 AMPS --. I I L I .
TEMP OCCUPANCY (30 DAYS) . V __ ._ ,,-~ ~A.I~ I (. /1L/tK.fJ1I I
I ,. ~ ,, • -~-"' I :--i , .. • I . I ,
TOTAL ELECTRICAL ;.,_~ TOTAL FEES PAYABLE I ~~/)-~ CONTRACTOR . I I
~ L -!;,3:, -I~-I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT, AND DO ••" os"A """" ""'°"'"'° '°" m•v•nom ov ?J ~ ~ HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5•.0--DEEP AND DEMOLITION OR CONSTRUCTION OF C. I
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER Cl~A ) -~--SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAV IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT. APPLICANT'S SIGNATURE" OWNER-W CONTRiO~ f~,VEDBY ~~r,1 AGENT D BY HONED M •..t..,L-. , .,
SITE -go. WO ADDRESS: OWNER: PERMIT NO:
FJELD INSPE.CTION RECORD
INSPECTION DATE INSPECTOR ' ; INSPECTOR'S NOTES
WOOD FLOOR
FOUNDATION• FORMS• SET SACK• 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. 'PLACE ST'ucco
FIREPLACE
DAMPER &STEEL .
PLATE TIES/HEIGHT OF CHIMNEY
OTHER
TEMP POWER (POLE)
SEWER
GAS TEST
SWIM POOL • STEEL BONDING .
• PRE DECK ";,
• FENCE PREP LASTER
SHOWN • FRAME -
' • PAN //
FINAL INSP BY BLDG DEPT 4..uJ,~ ·.r
OTHER DEPT'S REQ COMPLETED
ELEC METER-PERM-TEMP
: GAS METER-PE~M-TEM.P
:
, ,.
l CERT OF OCC\JPNKY _ISSUED
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1 CITY OF CARLSBAD
~ ◄ This Certificate issued pursuant to the requirements of Section 306
~ of the Uniform Building Code certifies that at the time of issuance
this structure complies with applicable ordinances of the City I Use Clossilicotion S:lngle Fam;ily ))well;ing Bldg. Pe,mit No.
regulating building construction use.
80-800
~ Group ______ Type Consfrue:tion _____ Fire Zone ______ Use Zone _____ _
> > ~ ~ ~ ~ > ~~. ,;..--
~-:,..
?> ~ > ~~>
~ Occupant Load __ c::,-:----:c---c----:c--------------------------~ Owner of Buildint
1
,, R;i_chard _ llprtplot · Address Chapali ta Dr. , Encinitas ~:
◄ BuildingAddress -~2~65 -~e'V'ant,e ~t·: lsbad CA. 2008 ?
~ '. ",. ,. .. . . . . . .· ---~,,..."6.,._______ i
◄ ------------------1"---=~~~2...=::_,~'(.!5_~~-----? ~ ----------------Ill! ----¥--"..!t..=.Q..J.....,{_______ <·, ◄ ~ ~ ~ -.wwww~l'f~ W: ffW"tt" " ::fYV''rYyYVV"f'Yl'<I 0~w~
..:..===>= -~---
REQUEST FOR INSPECTION TIME: 3:os-
1~sPE;~M:=Et\i l.L1 P); PERMIT No 8:2 -&o o
OWNE;2, ~fLTul Ot
DATE: 2 ( I J /8 ( I
ADDRESS -zbCoS Ler/tt,,u l E
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUNITE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
~ EXTERIOR LATH r □ INSULATION
XllNTERIOR LATH OR DRYWALL /□ 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
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
D SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
D GRADING
D DRIVEWAY
0 CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY X A,M. D TUESDAY »EDNESDAY
~/!53/G/
D THURSDAY D FRIDAY
D P.M.
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY ~' #,.,__ L PHONE NO. 7 51: -/9zs-
PERSON TAKING REPORT _______ _
REQUEST FOR INSPECTION TIME: ______ _
INSPECTOR_. _________ PE AMIT N0._~6l~d-~_ri_trP ___ DATE; _;z_-J_tJ_• Y_I __
OWNER ________________________________ _
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUN I TE
0 FLOOR AND CEILING FRAME
0 SHEATHING
~FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
~ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PU CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
iXf"'ROUGH ELECTRIC /□'-'POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
~LENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
D GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY _/4fuESDAY □WEDNESDAY D THURSDAY D FRIDAY
D A.M.
O P.M.
SPECIAL INSTRUCTIONS __________________________ _
7 i~-;-., ? y" REQUESTED BY--,,.,~--=-~"""-':;.=.-------------PHONE NO·--~...,,.,,.......,,__ __ _
PERSON TAKING REPORT __ "-------
REQU~ST FOR INSPECTION
INSPE6~JR {. a:-U.,...,---------=:: PERMIT NO. /ti,.,.. fitJ _;;;;>
TIME=-------:,---,--------
DATE: _:½,..,,.vL,-,,..,,./..__ ~+-1/ __ _
7~ OWNER ________________________________ _
ADDRESS-~:;___,:_...,:!:0~-=----:::!,...:;..;:::::..::-----------------------
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUN I TE
0 FLOOR AND CEILING FRAME
0 SHEATHING
0 FRAME
0 EX TERIOR LATH
~INSULATION
/ct1NTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH 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 MONDAY
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
D G.F.1.
0 SMOKE DETECTOR
D FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
D SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
WEDNESDAY D THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED B~1r--..:........c'----'-_____________ PHONE NO. Jsrz$S-
PERSON TAKING REPORT_,.c.;Al117-?___;_..L....c._ ___ _
•
INSUUTION CERTIFICATION
This is to certify that, in conformance with the current energy
regulations (California Administrative Code, Title 25, State of
California) and approved plans, ins~lation has been installed
in tte building located at:
Levante Street Lot # Tract #
La Costa
City San Diego
County
DESCRIPTION OF INSULATION
RCOFS-EATTS
Type of material Vendor Thickness R Value
EXTERIOR WALLS-BATTS
Type of material Fiberglass Vendor J.M. Thickness Jt" R Value
CEILINGS-BATTS 6½" Type of material Fiberglass Vendor J.M. Thickness R Value
CEILING-BLCWN
Type of material Vendor Thickness R Value
No. of bags Wt./Bag Sq.Ft. Covered
FLOOP..S-BATTS
Type of material Vendor Thickness R Value
General Contractor (Builder) License II
By Title Date
Sub-Qntractor I.dM Insulation Co. License # 32001.2 C-2 1 C-61
By ~ £1.1.4.t_ Title °"1mer Date 2-5-81
520 Valley Of'ive • Vista, CaJifom a 92083 ° (714) 941-2484
. t .
11
19
REQl:J~ST
OWNER ________ .__ _______________________ _
ADDRESS
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUN I TE
0 FLOOR AND CEILING FRAME
0 SHEATHING
rt('i:RAME
~ EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 "fUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
0 TEMPORARY SERVICE
0 LECTRIC UNDERGROUND
OUGH ELECTRIC /:;?
OOL BONDING ~ r /
0 ELECTRIC SERVICE JI-·?,/)
0 CEILING HEAT ti7
D G.F.1.
0 SMOKE DETECTOR
D FINAL
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: □MONDAY □TUESDAY □WEDNESDAY □THURSDAY
D A.M.
SPECIAL INSTRUCTIONS__,,>-..,a;"YD~P .... M"-. _,.~'--'""'----------------------
REQUESTED BY ~ ~ -./ .. PHONE NO.
PERSON TAKING REPORT
REOU.EST FOR INSPECTION TIME_· ______ _
INSPECTOR :-7L/YJ PERMIT N0.~0.....,'IJ ...... .-_z_'/JV __ DATE: _/,,J.,_·_/_j_, ~_'I __
OWNER ________________________________ _
ADDRESs _ __..2~bJ1.11'6:e.......L...S:___,r;,L""''e ...... u..£.Lll~~..!.......:::::==---------------------
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
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
D ROUGH PLUMBING
0 TOP OUT PLUMBING
~ SEWER AND PL/CO
b TUB OR SHOWER PAN
0 GAS TEST
D WATER HEATER
D FINAL
ELECTRICAL
~
-TEMPORARY SERVIC~.
0 ELECTRIC UNDERGROUND
g/t!P ROUGH ELECTRIC I
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
0 SIGN
D GRADING
0 DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
READY FOR INSPECTION: □MONDAY □TUESDAY □WEDNESDAY
D A.M.
□THURSDAY ~RIDAY
D P.M.
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY __ ...x.5"72c..L.-~-~-----------PHONE NO._L-1-"J-~/'_-.,_/..L.1--"1....::) __
PERSON TAKING REPORT __ ,,..~-------
•
REQUEST FOR INSPECTION TIME-· ______ _
IN~EC;OR & ~ PERMIT NO. _______ DATE:--Z.::ZZS ~
OWNER ______ ~~~~~---/ __ -17.__· _..;..-f'.__,__/_
ADDRESS ____ o?~?;;...,~~•,4.C _ _.,~~,:;,,c::_~_.:;__;;:::a,,,,c;__ ________ _
BUILDING
0 FOUNDATION
0 REINFORCING STEEL
0 MASONRY
0 GROUT -GUN I TE
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
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:
ELECTRICAL
0 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
D PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
D FINAL
□TUESDAY □WEDNESDAY D THURSDAY D FRIDAY
D P.M. r~
SPECIAL INSTRUCTIONS ___ __,,.,.._A ...... ~"--' ........ ,___'---"'~'-"-= ....... ,..__""f _____________ _
REQUESTED BY __________________ PHONE NO. ,-:, c?
PERSON TAKING REPORT--,,/~<-J-,--_7 ____ _
REQUEST FO~ INSPECTION TIME_· -----
INSP~CTOR • L( 1ll\ PERMIT NO. _______ DATE: zfG~
OWNER ______________________________ _
ADDRESS_-"'-9 ....;;.....=ro--=.,_s _ ___,;;""'---e,-'-'---"'C/:r----.--a:"'--'/._--<...-......__ ________ _
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
Jaj FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
.9 WATER HEATER
~ FINAL
READY FOR INSPECTION: □MONDAY 0 TUESDA
D A.M.
/-l I-<.-'51..P.M.
ELECTRICAL
0 TEMPORARY SERVICE
0 ELECTRIC UNDERGROUND
0 ROUGH ELECTRIC
0 POOL BONDING
0 ELECTRIC SERVICE
0 CEILING HEAT
D G.F.1.
0 SMOKE DETECTOR
J2\_ FINAL
MISCELLANEOUS
0 PLENUM AND DUCTS
0 COMBUSTION AIR
0 PATIO
0 SIGN
0 GRADING
0 DRIVEWAY
0 CONDITIONED AIR SYSTEMS
0 REFER PIPING
, FINAL
~AV □FRIDAY
-..R.cJro/ I/-/rb.S~}&/--,
SPECIAL INSTRUCTIONS ______ ----'-/_! _________________ _
CJ w A/ r-t-(Y ~-.,p /4 2v /: t'f C) (/ -e.
REQUESTED BY s r:r v e L-:1 N .J--. ~ 7 PHONE No.7G:--IV5
PERSON TAKING REPORT _______ _
REQU~ST FOR INSPECTION TIME: ____ _
INSPECTOR ·• ~ PERMIT NO. _ ____,,,------DATE: //-.2 ¼-
OWNER"_ -----------------~----=---=-="""-........ ~:;.oo:;_---------
ADDRESS __ .2__· ::........i::?~?--=~--~""-==~=--,:::;.._::....i..-.c;.....,✓'--------------
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
PLUMBING
0 UNDERGROUND PLUMBING
r□ UNDERGROUND WATER
ROUGH PLUMBING
TOP OUT PLUMBING
0 SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
0 WATER HEATER
D FINAL
READY FOR INSPECTION: □MONDAY
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
D 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
0 REFER PIPING
D FINAL
¼uESDAY □WEDNESDAY
/fl?/
D THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY __________________ PHONE NO. __ -r/f--,h'J~~:::._ __ 3-11c PERSON TAKING REPORT_ .... L ___ (,L"'" _____ _
-=-=-=-=-=-====:----------------REQU '-ST FOR INSPECTION TIME:Lf~ 6 cf· · · · r-0. . -< '°9 ✓u-v 7
1NsPEcToR .. ~ -• /, Y"" PERMIT No._a_iD_-_a _---,,-_DATE= //-'26--{L~
OWNER. ~ ,0,0 ~7{) I ~ +--
ADDRESs _ __..Q'--~~h~O:j,&--..L..~~-~-+___._t_.._~ ---~---------'-----
BUILDING
~FOUNDATION )
0 R.EINFORCING STEEL
0 MASONRY
0 GROUT -GUN I TE
f
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
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: □ MONDAY D TUESD ---
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0 ROUGH ELECTRIC
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P EDNESDAY □THURSDAY □ FRIDAY
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PERSON TAKING REPORT ___ _,C"1'1~.___-__ _
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REQU_F..ST FOR INSPECTION TIME: ______ _ . . .
INSPEE:TOR_. __________ PERMIT NO. _______ DATE: ______ _
OWNER ________________________________ _
ADDREss ___ c;;,,L-~~-~~-:c_c~~?-C"':!_v~AJ--c....&..tff: __ c~---------------
BUILDING
0 FOUNDATION
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0 FLOOR AND CEILING FRAME
D SHEATHING
D FRAME
0 EXTERIOR LATH
0 INSULATION
0 INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
0 UNDERGROUND PLUMBING
0 UNDERGROUND WATER
0 ROUGH PLUMBING
0 TOP OUT PLUMBING
D SEWER AND PL/CO
0 TUB OR SHOWER PAN
0 GAS TEST
D WATER HEATER
D FINAL
ELECTRICAL
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\ 1 COMBUSTION AIR
PATIO
D SIGN
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D DRIVEWAY
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0 REFER PIPING
D FINAL
READY FOR INSPECTION: D MONDAY~ESDAY □WEDNESDAY □THURSDAY D FRIDAY
D A.M.
D P.M.
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY __________________ PHONE NO. _______ _
PERSON TAKING REPORT _______ _
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