HomeMy WebLinkAbout2718 ATHENS AVE; ; 86-372; PermitDECLARATIONS
OWNERI~UILOER CONTRACTOII 1- LENDER WORKER'S COMPENSATION I1 I
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Pink ~ Appicanl Gold - Ternpnr3ry File -. 3 Whlle ~ lnspe~for Green - (1) Finance 12) Uala Process. Yellow ~ Assessnr
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c Citp of CarMab
REQUEST FOR INSPECTION RECORD
TIME (3; 9 r-
INSPECTOR PERMIT NO DATE 4I?/BG
PHONENO 7a-9- Oos G,
PERSON TAKING REPOR
I BUILDING I
L FOUNDATION 0 FOOTING 3 SLAB
I REINFORCING STEEL
:. MASONRY
GROUT - GUNITE
I FLOOR AND CEILING SUB FRAME
E SHEATHING 1~1 ROOF ;I SHEAR
'I FRAME
EXTERIOR LATH I
11 INSULATION
PLUMBING
1 UNDERGROUND PLUMBING
I 1 SEWER AND PLiCO
I TOP OUT PLUMBING
7 TUB OR SHOWER PAN
r' GASTEST
C WATER HEATER
SOLAR WATER
0 FINAL
x r ELECTRICAL CJ
n UFFER GROUND
C ELECTRIC UNDERGROUND
7 ROUGH ELECTRIC
0 POOL BONDING
I ' ELECTRIC SERVICE
' FINAL
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MISCELLANEOUS
L i CONDITIONED AIR SYSTEMS
0 SOLARHEAT
PATIO
Ll POOL ~1 SPA
X SIGN
0 GRADING
11 DRIVEWAY
7 FINAL
SPECIAL INSTRUCTIONS :m
Inspection: I I Monday 0 Tuesday I1 Wednesday *ursday i 1 Friday
A.M. P P.M.
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ATTENTION PROPERTY OWNER:
An "owner-builder" building permit has been applied for in your name and bearing your
signature. please complete and return this information in the envelope provided at your earliest opportunfty to avoid unnecessary delay in processing and issuing your building permit.
NO building permit will be issued until this verification is received.
1. I personally Plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) , ,YES
2. I (have/have not) - L/E signed
3. I have contracted with the following person
Name
Address
City
4. I plan to provide portions of the work, but coordinate, supervise and provide the major
Name
Address
city
the application for a building permit.
(firm) to provide the proposed construction.
Phone
Contractors License No.
I have hired the following person to work. Awe .- Phone ,
Contractors License NO. ,/'
5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated:
Name Address Phone Type of Work
/
Signed: Property Owner
Social Security Number 7- os-- /D23
Date: 4++- 86
EACH SUBCONTRACTOR WILL BE INSTRUCTED TO OBTAIN A CITY OF CARLSRAD BUSINESS LICENSE
AN0 FURNISH A CERTIFICATE OF WORKMAN'S COMPENSATION TO THE CITY OF CARLSBAO.
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