HomeMy WebLinkAbout2837 CACATUA ST; ; 86-967; PermitDECLARATIONS OWNERllUlLDER CONTRACTOR WORKER'S COMPENSATION I I7 ----lr--l $--I--- ---I
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~,vt-,lte - Inspector Green - (1) Finance Yellow - Assessor Pink - Applicant Gold E Temporary File
1 Citp of Carlgbab REQUEST FOR INSPECTION RECORD
TIM E: a 1 j-3
INSPECTOR
REQUESTED BY PHONE NO.
PERSON TAKING REPORT
BUILDING ELECTRICAL
TEMPORARY SERVICE
-~ UFFER GROUND
' ELECTRIC UNDERGROUND
I ROUGH ELECTRIC
C; FOUNDATION 7 FOOTING 0 SLAB
I I REINFORCING STEEL
I MASONRY
I' GROUT - GUNITE ' FLOOR AND CEILING SUB FRAME
[' SHEATHING I ROOF r1 SHEAR
[ FRAME
ri EXTERIOR LATH
r INTERIOR LATH OR DRYWALL
ri FINAL
1 INSULATION
3
1 \c
4
POOL BONDING
1 ELECTRIC SERVICE
I FINAL 1
PLUM 61 NG
I 1 UNDERGROUND PLUMBING
[I SEWER AND PLlCO
r i TOP OUT PLUMBING
ri TUB OR SHOWER PAN
r GASTEST
rl WATER HEATER
I; DRIVEWAY
1 FINAL
SPECIAL INSTRUCTIONS
Ready For inspection: 0 Monday 0 Tuesday n Wednesday [' Thursday F1 Friday
C A.M. rJ P.M. ~- -- I I I ri 11 I II ii~i I IIITT I I 1.1 UI I
AI'TENTION PROPERTY OWNER:
An "owner-builder" building pedt has been aPPljed for in your name and bearinq your
signature. please complete and return this information in the envelope provlded at your Parliest opportunity to avoid unnecessary delay in Processing and Issuing your building pe-nit.
NO building Demit will be issued until this verification is recefved.
1.
2. 16/have not) -
3.
I personally plan to provide the m r labor and materials for construction of
signed the appllcatlon for a building penlt.
the proposed proDcrty improvemen yesf or no) . c?
u
I have contracted with the following person (flnn) to provide the proposed construct
Name Phone
Address Contractors Lfcense No.
city
4. I plan to provide portions of the work, but I have hired the followfng person to coordinate, supervise and provlde the major wort.
Name Phone
Address ,Contractors Llccnse No.
CI ty
5. I will provide some of the work but I have contracted (hfred) the following persons to provide the work indicated:
Name Addres s Phone Type of Work
~
/.
Signed: Proocrty Own
EACH SUBCONTRACTOR WILL BE INSTRUCTED TO OBTAIN A CITY OF CARLSBAD BUSINESS LICENSE AND FURNISH A CERTIFICATE OF WORKMAN'S COMPENSATION TO THE CITY OF CARLSBAD.
Initial s