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HomeMy WebLinkAbout2702 LA COSTA AVE; ; 83-156; Permit., z 0 ~ " .. J u w 0 "' O I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7(X)()) of Division 3 of the Business and Professions Code, and my license is in full force and effect, ![ Le Ne 81 C1a\' ,c,o Iec's tre app:·ca~t :oil c,,,' 1Jt · 1·e orcd G8~ "S,c).' "v_ ,Kl'aJe-cf~"e ~ro~erty ~rm·, ec,0:c,-~es wI:h ffi /~ir sore compe%a:Ion w,II dot~~ 11·Jr•. ,.~d !he o ture Is cot ,~tencec c· otlered io, saIe 1s~c 7044 B,,s-reso ~ anc Prc'ess1on, Code· T1e Con'ractor's L1cense Law does 5 ~o• applJ to a· o,,~er of proper·y w~o buiids or Impro·,es m the,eon anG who does suer 'l,'~rk ~,msell or through r,,s own ii employees. vo\'•Ced '.hal su~h IrT1provemenls are not ,ntend- W ed ar offered ·0, saIe If. howeve·. the ou1ld1ng or Imorove-Z ment ,s sold wI·nIn one year o1 completion ihe owner-bur Cer 3 will nave the burcen 01 proving that he did not build or m-0 prn,·e for tl1e purpose of sale) z 0 ~ ., z w ~ ,. 0 u ., "' w " " 0 ;o L il I. as owner o! the property. am exclusrve•y contracting Wl!h :Icensed contrac'.ors to construct the project (Sec 7044, Business and Pro:ess1ons Cooe Che Contractor's License Law does not aopiy to an owne, of prooerty who builds or im- proves the·eon, and who c~ntracts for each projects 111<th a contractor(s) I-cense pursuant to the Contractor's License Law) 7 As a hOrr>ITTJwner I am ,mpr8vIng my home. and the !ollow •ng cond1t1ons exist 1 The work ,s being performed prior to sale 2 I have I,ved In my home for twelve months prior to completion o1 th,s wor~ 1 ha,e not claimed this exemption during rne las! three years for t'h~~ /!1:i;~t under Sec ______ _ B & P.C D I he,eby a/firm thal I ha,e a cert1f1cate ot consent to selt-,nsure or a cert,t1ca1e of Workers Compensatoon Insurance. or a certd1ed coo, thereat {Sec 3800 Lat>or Code) POLICY NO COMPANY 0 Copy ,s tried w,th the c,ty 0 ~rt,fled copy ,s hereby fum,shed CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE llh,s section nee<l not b€ completed ,t the permrl Is to, one hundred dolla·s ($1001 or lessi 0 I cert,ty that In the pe,formance ol me work tor wh.,ch this perm,\ ,s issued. I sria11 no! employ an, person ,r, an, manner so as 10 Dl"come subIeC' 10 lhe Worke,•;' Compensa1,on Laws ot Calolorn,a NOTICE TO APPLICANT If after ma~Ir.~ th,s Cert, lrca!e of Exemption you should become subIect Ts the Workers' Compensat•on pro.is,ons o• lrie Labo' Code yo~ mus1 !orthw,1h ~amply ,.,,,th s"ch prov,s,ons o, th,s pe,m,I shall be deemer: ,e,oked 0 I he,eby a'frr"" lha1 •here rs a con5ln,ct,or Iend,ng agency for the performance ut The work lor whrcri lh•S perm,1 ,s ,ssued ,Sec 309?, c,,,, Coder Lenoe, s Name ___________ _ Lenoe, s Aao,ess __________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT JOB AO DRESS .z:10 2.. Z°,4 A./).._ AV. ST. j DATE OF APPLICATION BUSINESS LICENSE # VALUA? PERMIT NUMBER e RD. ~ if-I 3 -/':;J, OWNER'S NA~ , t//f~Jtp½,_ IJ~ ..,.,__,_.., -I OWNER'S PHONE CONTRACTOR a 02_";_ ~~NG ADP~ H d t)_ A~// /,...., ~ ~I e--.4i-1 C-ONTRACTOR'S ADO~S IP'~-v?P__,,,/ I Yi~! BLOCK SUBC·Vf!'TON I ASSES~~ ~R'!,_'1!5 11..(, 00 -DESIGNER OESCRIPTIO"-OF WORK L. • .J.. ' .I AA. /_/ R ,- CCNSUS TRAC, I Ge CANO use I PARKING SPACE RCS UN'Vi J DESIGNER'S ADORESS GRADING f:ERMIT ISSUED I y D N □ F :P FLR ELEV. YC r-0 REDEVELOPMENT AREA ,□ "'□ NO STORIES TYPE CONST CONTRACTORS PHONE ,i LICENSE NO :J,l/'f5S6 LICENSE # DESIGNER'S PHONE OCC GP EDU OCC LOAD FIRE SPR YO NO 3?.- l~(p PLAN 1.0. :t ) BLDG USE CODE STANDARD PLAN # I BUlr.;s~OO~GE ~- il1J -·· .,, l'Gtl I· ·-',r -, a, ; • Nor Valid Unlf5r M.1chine Cerrdied ,,.o,; ~"-~~' QTY. PLUMBING PERMIT -ISSUE i ;,.e QTY. MECHANICAL PERMIT-ISSUE 3-SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP / INSTALL FURN DUCTS i.JP TO 100,000 BTU BUILDING PERMIT EACH BUILDING SEWER BEACH WATER HEATER A~p DR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS r- 1 -----OVER 100,000 BTU I I SIGN PERMIT BOILER!COMPRESSOR UP TO 3 HP ---.. ------- EACH GAS SYSTEM 5 OR MORE j___ -It-·-· ,__ -BOILER.:COMPRESSOR 3-15 HP -----_, __ METAL FIREPLACE EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT ----- EACH VACUUM BREAKER ' ------41----~ MECH EXHAUST HOOD-'DUCTS --------- I ~ WATER SOFTNER ~ --t~~~~□_!'_ □8~1~_,~r~s1cE~ _______ I ----+------+----+-·---RELOCATION OF EA FURNACEiHEATER TOHiL MECHANICAL --- PLAN CHECK r----- --- ---------11 TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILEHOME --+-----_,~LEHO_ME PARK ~t-!_SP SOLAR STRONG MOTION ,--TOI Al PLUMBING ___ ~ j QTY I ELECTRICALPE~M~_: ISS~~-1 :> _ QTY~ ___ SOLAR· ISSUE FIRE SPRINKLERS --~-~-------11- NEW CONST EA AMP SWT SKA COi LECTCRS I PH ___ 3 PH STORAGE TANKS 1 EXIST BLOG EA AMP·SVIJJ BKR ROCK STORA(;E IPH J PH PUflP REMODEL ALHR PER CIRCUil ---,- TEMP PO LE 200AMPS -- OVER 200 AMPS TEMP OCCUPANCY :30 DAYSI ----- ---- -- ---- P U B LI C FACILITIES FEE BRIDGE FEE SCHOOL FEE · DISTRICT Carlsbad Encinitas S_~!7 -~i_eguito San Marcos ---1t--·-- - 01-00-00-8220 01-00-00·8221 01-00-00-8806 ,- 01-00-00-8222-+-- 01-00-00-"'~"~3--+-- 01-00-00-8224 01-00-00·8225 ---- _ _';:Ip_, S 0 -2.5.~vS- - --- - 01-00-00-8226-+---- 80·92·33 0519 1~--5 0~ 01-00-00-8227 32-00-00-8923 80-92-21-0519 80-92-22-0519 80·92-23-0519 80-92-24-0519 ---+--- -----t- ---- - - --- ----- -- -+-·------------___ , -- ------ TOT Al El EURICAl 1-f"'" ,, i - j TCTAL SO~AR TOTAL FEES PAYABLE t -,I I I I _& 4-.Ci s I HAVE CAAEFULL Y EXAMINED THE COMPLETED ''APPLICATION AND PERMIT'' AND DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND 1 FURTHER CERTlfY AND AGREE IF A PERMIT IS ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON- STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HAAMltSS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY 1N CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issued by the Building Official undef the provisions of'th1s * AN OSHA PERMIT IS REQ __ ~ FOR EXCAVATIONS OYER Cod9 shall expire by lim_1tation and become nult and void If the building or work. .5· o--DEEP ANO OEMOLITl()t,J ,....q CONSTRUCTION OF authonzed by such p81'm1t 1s not commence_d within 180 days fro~ the date of such STRUCT\IAES OYEfl -, --N HEIGHT permit, or if the budding or work. authorized by auch permit 1s suspended or 1 abandoned at an time after the work is commenced for a ~i!/.eoLI 1180!!Q.g•w•L· --;:;:1"::::::~-::;,~~-----••-------;:-:,~------, APPLICANT'S _SIGN .... URE lf,. CONTRACWR Q APPROVED BY DATE e,,r, ·~4~ BYPHON."□ '-o/~ 1 cd~ I © ii: ~ ~ 0 o_ E © f-- I TI 0 CJ c ro -~ o_ .:a, mt• ~ C ii 0 00 00 © 00 00 ., I ~ 0 a; >- "' 00 © 0 2 a_ ro '" 0 ~ © 0 C ro C "- C © i" CJ 0 u © o_ 00 C -~ " ,:: INSPECTION TYPE DATE INSPECTOR BUILDING . FOUNDATION "-.. ,. REINFORCED STEEL --...... 1--//-ll'> ,,, (A) I MASONRY --------- GUNITE OR GROUT - FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION INTERIOR LATH & DRYWALL PLUMBING --------- SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT --- TUB AND SHOWER PAN GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING G. F. I. -SMOKE DETECTOR MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS CERT OF OCCUPANCY ISSUED $'~ -+;::.-'Jo , 4 • ,--• FIELD INSPECTION RECORD '•rq,,,_ . .) ______ -; f-----=--------------------r,-----------------------'-· ,.,,,8, REQUIRED SPECIAL INSPECTIONS :Nc:;:JE -., . . " \..,, ,ON i Rt·o · . T ,F I •NSP -• , -c><i:::o Et_,, OR c:: cl : • •, -• sPPP, . • c • •"'-''': .-.• -----~~-}c---' ,L'.-A• 1· D'~T·· c JP ·c , " ' : ~--_C-! ~ . c I ' i--- ~C), .. ~,c;.\ -,:)r,. '',S~ ::.;'f<l)(_,l·,,oA,L C':~;:;pf:f-_ 0\:1:H ,,,!~', .:, ·- ':o~·f(. :A" ~,A'.-'.'.)f\CY I ~~~~ff;~':,,~ -1 +--::_ 1-J C' " ' • ' I: ,; ',\ELDI~~\:; __ T ____ ----L--' " • ----I ---j 'Uri Th'N~-----I b()'. -:-::, -' ~ -::_]·-I -----I --------l-------1------1 I ----I l -,---~ F" ES CA•Ssor,, ___ E r ···1J ' ---- ' r ' -+-----T---- 1 ------- ~--------+----+-----· I -+------i----------- ! ~----------1-----+ ·--+--·-------I I L I l IN~PECTOR'S NOTES y&V.. -. . fill__$_.,;;~ ~,,y .A:li/#L . .4 "'~ 4AGt,,:.. 1/1!11-i ~ T~ ~~£A&-. A!4TA'« ----. - ----· -------------------- --------- -----. ----------------------· ------------ f-------------- ~ -~-----~---· ~ ---------" ~ ----------~' ~ .. ·------~1--~· 1111 II ...u-rl"'. ~ -~ .... ---~----t·•·' ---------- ---------------- ~ - J,f. ::;~ LICENSED CONTRACTOR'S DECLARATION•. I hereb1 affirm that 1 am licensed undei-prov1• sions of •Chapter 9 (commencing with Section 70Cl0) of tlivision 3 of the Business and Profes- sions Code, and my license is in full force and ef-fect. OWNER-BUILDER DECLARATION CJI hereby affirm that I am eJtempt from the Con- tractor's License 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 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 a!feged eJt- 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). L 1, 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 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 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 he did not build or improve for the purpose of sale). ·=.1. as owner ol the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business e.nd Professions Code: The Contractor's License Law does not ap- ply to an owner of property ·•ho builds 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 eJtempt under Sec. _____ B. & P.C. for this reason, ___________ _ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm 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). POLJCY NO_ COMPANY ___________________ _ ;copy _is filed with the city. -Cert1f1ed 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 ($100) or less). I certify that in the performance of the work for Which this permit is issued,! shall not employ any Person in any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: 11, after making this Cer- tificate of EJtemption, you should beco_me subject to the Workers' Compensation provisions of the Labor Code, \/Ou must forthwith comply with such Provisions or this permit shall be deemed revoked. co~•<>T~ l hereby aff_i~#?T}QN L.~~DING AGENCY C.\TY OF CARLSBAD-BUILDING DEPARTMENT APPLICATIOtl & PERMIT ·USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 "',·_.z.,7. ;,,&, I"' ~7-: JOB ADDRESS AV. ST. !DATE OF APPLICATION I I 0,2,. ?-1 '-I_. ,-7 /T . ' . I ',' I I 7..., I I I I I I I I I I I I I OWNER ;--. OWNER'S PHONE PRIME CONTRACTOR 21 ··1. /; ,r? IJ/1.,.,k _g,.,p<nWY,'lt__ ~ , ~ OWNER'S MAILl_NG AODRr. ,-CONTRACTOR'S ADDRESS :: !!.. ,:!. 6 Lff z IA_ E-t.. A-~A-~L !:.J5'1J' 2 '.22.b PLR-Zl,(__Et..,K/,; LO. BLOCK l SUBDIVISION I ASSESSOR'S PARCEL NO. DESIGNER ~~°&,-e<t,L ' ' ' ' ' ' ' ' ' ' ' /Y'i··,, k DESCRIPTION OF WO~ ~ 1 VJ~ Jf !7S DESIGNER'S ADDRESS /\ ~] . ,\ -77 dz -a.22~ .P.L,4-z u 6:1..~ -:i.,:_c __ D°NING APPLICANT TO FILL IN INFOR. MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER tf:S-2.3 So~CJ£o STATE LICENSE J1/r,:?~ 's .,-'l:!J'-li l/-1 ')~ DESIGNER'S PHONE mscs~b~/ ~"~1 I RES. UNITS I PARKING SPACE I NUMBER Of" STORIES Not Valid Unless Machine Cartifitld BLDG SQ. FT. SLOG USE occ. GP I STANDARD PLAN It I "1'ri'-r!;-o I TYPE CONST I occ. LOAD I . QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP 7,CI (., EACH INSTAL., ALTER, REPAIR WATER PtPE VENT FAN SINGLE DUCT Va~~-EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS WATER SOF!NER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT) I l"2. ·i I ~ ,,,, ~ .J •.. ~· ._3'.,..,, ✓ --., < ,. d-71 SIGN PER!U()/'J\ '/ ~ -;-I I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN cH.!!K / )_,6() ff:=. /.f, Yr 1~ v I I /I "v.>? 0 CONTRACTOR CONTRACTOR ALL INCLUSl~E PERMIT I I I AMT. TOTAL PLUMBING I I QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I I 1 PH .15 3 PH PORCH MOBILE HOME I I EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR I I I I • 1 PH .25 3 PH RAMADA, CABANA _;.,·/A.~---.>-... ~✓--I I I ./,LL REMODEL/AL TEA PER CIRCUIT FENCE OVER 6' 7 I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FILM I I I I OVER 200 AMPS ,., /'I n I I I ' TEMP OCCUPANCY {30 DAYS) I._["-.. 'f" C ,-e:-.e::.. "l:) I • I ,. '/ .f"'J/') } _;. ,.. ---c2.-.,:1,; I '1 I TOTAL ELECTRICAL TOTAL FEES PAYABLE I 11-Aih, ,d CONTRACTOR I I ./vi~~ ~- I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT,AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5"-0" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE 1F A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY. STRUCTURES OVER 3STORIES IN HEIGHT COUNTY AND STATE LAWS GGVERNING BUILDING CONSTRUCTION, WHETHER 1,i,£, SPECIFIED HEREIN OR NOT I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM \ LESS THE CITY Of CARL Se;A D AGAINST ALL llABI LITI ES, JUDGMENTS. COSTS AND -. EXPENSES WHICH MA~· 1N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING _;f THI~ PERMIT APPLICANJ"'S ~IGNATURE' OWNF.Qof\.l r:nNTAArT,.,,cn IAPP-v~n c.Y n•T-• • ~ ~ 5 ;::: !,! Q. <J) ~ ; SITE ADDRESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES. . 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• 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 BLDG DEPT OTHER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP , :3AS METER-PERM-TEMP i ~---c- ! : ~ERT OF OCCUPANCY ISSt..;ED <ltit.!' of <ltarls.bab REQUEST FOR INSPECTION RECORD • INSPECTOR ___________ PERMIT NO. Tl ME: ~ __________ DATE:~ OWNER ____ ~~----~------------------------ ADDRESS __ ___,,a:::...:..L7fLl),.,.:Z,,.__£.ef11--.1..C'.'..._.1.~.e::::=:..::,,.~,---------------- REQUESTED BY ---/-,~S,,i-,is,:z.-,e.;,7,..,...-!d'..,,-1".C..,✓'-------PHONE NO. BUILDING D FOUNDATION D ll D D FLOOR AN D SHEATHIN D ROOF D SHEAR D FRAME D EXTERIOR LAT D INSULATION D INTERIOR LATH OR DRYWALL D FINAL PLUMBING D UNDERGROUND PLUMBING D SEWER AND PUCO D TOP OUT PLUMBING n TUB OR SHOWER PAN D GAS TEST D WATER HEATER D SOLAR WATER D FINAL MISCELLANEOUS D CONDITIONED AIR SYSTEMS D SOLAR HEAT D PATIO D POOL D SPA D SIGN D GRADING D DRIVEWAY D FINAL SPECIAL INSTRUCTIONS ____________________________ _ Ready For Inspection: D Monday 0 A.M. D P.M. Tuesday D Wednesday □ Thursday D Friday l!titp of l!tarls·bab REQUEST FOR INSPECTION RECORD r TIME:~ INSPECTOR __ ,.,_L)~-e=N'.L .. _,_4,.~'--"'6,.,__,_$ __ PERMIT NO. __________ DATE: ~ OWNER _____________ --,tJ-,lL---------------------- ADDRESS __ ?,;..-A~~'--'LPo<.•~,-,;,,""'2~__..l.---=-~:J.......__C-'----=0~-~S~n_.___-A/f:~v'-'-e~;------~ REQUESTED BY -'.:_-,--''i'-'~'-~~<-:..P--"'"",;"'-----------PHONE NO. BUILDING □ FOUNDATION LJ REINFORCING STEEL lMASONRY [I GROUT -GUNITE □ FLOOR AND CEILING SUB FRAME □ SHEATHING □ ROOF □ SHEAR □ FRAME □ EXTERIOR LATH □ INSULATION □ INTERIOR LATH OR DRYWALL 17 FINAL PLUMBING n UNDERGROUND PLUMBING D SEWER AND PL/CO lJ TOP OUT PLUMBING □ TUB OR SHOWER PAN □ GAS TEST □ WATER HEATER □ SOLAR WATER □ FINAL Ready For Inspection: □ Monday □ A.M. □ P.M. n Tuesday ... --• PERSON TAKING REPORT _____ _ ELECTRICAL □ TEMPORARY SERVICE □ UFFER GROUND □ E ECTRIC UNDERGROUND OUGH ELECTRIC POOL BONDING □ ELECTRIC SERVICE o FINAL MISCELLANEOUS D CONDITIONED AIR SYSTEMS □ SOLAR HEAT □ PATIO Q POOL □ SPA □ SIGN □ GRADING n DRIVEWAY lJ FINAL [J Wednesday D Thursday ~riday ~itp of <ttarlsltab REQUEST FOR INSPECTION RECORD r /.l \~ -:1 q ~ o TIME: _/_CJ_', cl7)~- INSPECTOR ----~,---'-----PERMIT NO. __ Jt.,_O_-_~> ____ DATE: S -I 1--fJ OWNER ____ ~~f5~,.~~"--''f--•~a---,-..~~~~-----c------------------ ADDRESS _ __.,'.)~'7-'--"0_-i.,..,---~ __ l...lL_~~=' ~,-~~=~~b_....__=Ce.,-,,-.e~_,_----,-.-----,---,-,..,,,~---- REQUESTED BY ~ -~ PHONE NO. _'--/~;,,~~~--11~4_'-f+-=3 ____ _ \ BUILDING D FOUNDATION D REINFORCING STEEL □ MASONRY D GROUT· GUNITE D FLOOR AND CEILING SUB FRAME D SHEATHING □ ROOF D SHEAR D FRAME D EXTERIOR LATH D INSULATION D INTERIOR LATH OR DRYWALL D FINAL PLUMBING □ UNDERGROUND PLUMBING □ SEWER AND PL/CO 0 TOP OUT PLUMBING ~ i:~;::::T::R~PAN -0 • y\ □ SOLAR WATER _,\ o FINAL PERSON TAKING REPORT ELECTRICAL D TEMPORARY SERVICE D UFFER GROUND □ ELECTRIC UNDERGROUND D ROUGH ELECTRIC D POOL BONDING D ELECTRIC SERVICE D FINAL MI SC ELLAN EOUS □ CONDITIONED AIR SYSTEMS D SOLAR HEAT [I PATIO D POOL D SPA □ SIGN 0 GRADING D DRIVEWAY o FINAL SPECIAL INSTRUCTIONS ------=-------------~'2::q...~~1":A,J.111'--~-- Ready For Inspection: □ Monday □ Tuesday □ Wednesday □ Friday 0 A.M. □ P.M. \ -------·· <!Citp of ~niroab REQUEST FOR INSPECTION RECORD ... • -.. INSPECTOR ___________ PERMIT NO. TIME: ~M,,/4 __________ DATE: 7 ~,_3 OWNER -----,..--------,,,<,,~--r:'l---;;--------------------- ADDRESS __ ----"~Lf'.'.,.'.'.''--<;:2(:....,_~~_£,_h~--------,:-,:;:-;--=-r-7'----- REQUESTED BY --~~.c...==L,c.,,.,.., .££,c.c_,_,:..._ ____ PHONE NO. BUILDING FOUNDATION ,/;, / □ EINFORCING STEEL /WI 1fA,-✓A,,._,, □ MASONRY ----~ □ GROUT· GUNITE □ FLOOR AND CEILING SUB FRAME □ SHEATHING □ ROOF □ SHEAR □ FRAME □ EXTERIOR LATH □ INSULATION □ INTERIOR LATH OR DRYWALL □ FINAL PLUMBING □ UNDERGROUND PLUMBING □ SEWER AND PL/CO □ TOP OUT PLUMBING □ TUB OR SHOWER PAN □ GAS TEST □ WATER HEATER □ SOLAR WATER D FINAL ELECTRICAL □ TEMPORARY SERVICE □ UFFER GROUND □ ELECTRIC UNDERGROUND D ROUGH ELECTRIC D POOL BONDING □ ELECTRIC SERVICE lJ FINAL MISCELLANEOUS □ CONDITIONED AIR SYSTEMS □ SOLAR HEAT □ PATIO □ POOL □ SPA □ SIGN □ GRADING □ DRIVEWAY □ FINAL SPECIAL INSTRUCTIONS ____________________________ _ --~ady For Inspection: D Monday ¥M· □ P.M . . -··•-·---·•·--· "' -· ... ·-·------· D Wednesday □ Thursday D Friday