HomeMy WebLinkAbout2854 NANTUCKET LN; ; 83-135-16; PermitUSE BALL POINT PEN ONLY & PRESS HARD
0 Z hereby affirm that: t am licensed under
_ proviCiona of Chapter 9 (commencing with
Section, TOW) of DivIsion 3 of the 8u51ness and -Professions Code, and my license isin,I,
L
fOr
t. Class 1 "
hereby attirm thai I am exempt from the r.nntrac- tar's License License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which re- - quires a permit to construct,, alter. improve; demolish, or I
- ( repair any structure, prior to its issuance also requires f he ap- plicant for such permit Is tile a signed statement that he is
licensed pursuant to the i previsions of the Contractor's I License Law (Chapter 9 commencing with Cectian 7000 of
•' Division 3 at the Business and rrnt(sasoa Cudk) of that IS. di?
empt therefrom and the badcter the alisgelt exemption. Any, I violation of Section 7031.5 by an applicant for a permit sub- -, judo the applicant to a civil penalty at not more than live hun dred dollars ($500).
- 0 I, an owner at the property, or my emplOyooc with wagno •
-.as their 30tc compensation, will do the work, and the stroc- I
lure is not intended or olfcrcd for aolc (5cc. 7044, 0113incss p :d Professions Code: The Contractor's License Law does
.001 apply to an owner 01 properly who builds or, improves I
thereon anif why Ones such work himself or th!oughhi5 Owe employoec, provided that Ouch improvement!; am not intend - lea • ed or offered for sale. .11. however, the building or improve- - - Z moot is sold within one year of completion, the owner-builder 3 will have the burden of proving that he did not build or irn-
0 prove tar the piupUse of sale),
-, -0 I, as owner 01 the property, am exclusively contracting 1 with lice000d contractors to construct theprojecl (Sec. 7044.
Business and Pretensions Code: The Contractor's Licesse. , I
- Law does not apply loan owner at properly who builds or im-
' proves thereon. and who contracts for each projects with a 4 U) - •_ contractor(s) license pursuant to the Contractor's License I - ,-Law.
- 0 As a homeowner lam improving my home, and the 10110w- 4 log conditions exist: + - ' . I •
-The work is being performed prior 10 sate. -. . I
I have lived in my home for twelve months F to completion at this work: -. - 3.- I have not claimed this exemption during the I O last three years,
- -, 0 lam exempt under Sec. - - - B & P.C. 'I lorthisreason '- '. ,:,
-- \
- - 0 I hereby affirm that I have a certificate 01 consent - '5' to • Sell-insure, or a certificate of Workers' ::-.Compensation Insurance, or a certified copy thereof I
3800. Labor Code. . - • -
0 ,JP-265 -92 50"
.. 2 - COMPANY Firezien' S Fund' i
rio (3 Copy is filed with the City.- .3, - •
0 Certified Copy is hereby furnished I
- - . - - 0 CERTIFICATE OF EXEMPTION FROM -
- WORKERS' COMPENSATION INSURANCE - (This section need not be completed it the permit is for one hundred dollars ISlOOl or less)-
a( -i.".i'. '.0 I certify that in the performance of the work for
- which this permit is issued. I shall not employ any I 3 r person in any manner so as to become subject to •
- the Workers' Compensation Laws of California -. -.,,+ .n- d, . '? P ._NOTICE TO APPLICANT If, after Making this Certi. - ticate of Exemption. you Should become subtect I',
- - the Workers' Compensation provisions of the Labor Code, you must forthwith Comply with such'
- provisions or this permit shall be deemed revoked
- I 6 I hereby atfi,m that there is a construction I - lending agency ior 11.0 pu'io""ance I +1.5 work in, I *flCh thiS permit is i33uCd 15cc 3097. Civil Codef I Union B&)k
- Lender's Addrels525 - "B" -Street-
S.D." tA- 92101 -:-
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
— - - -- — CARLSBAD"BUILDING DEPARTMENT - APPLICATION &PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619)438.5525
.108 ADDRESS AV. ST. RD. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE it VALUATION PERMIT NUMBER
2854 Nantucket Lane 3B . 12/16/83 1710 ' 73
LOT BLOCK SUBDIVISION I PARCEL NO. . ASSESSOR CONTRACTOR CONTRACTORS PHONE II -. ZONE - L6 Calavera Hills CT 82-8
OWNER'S NAME OWNER'S PHONE PACIFIC SCENE, INC. - 2995100
PLAN 1.0. it BLDG USE CODE , CONTRACTOR'S ADDRESS LICENSE NO. TREE'IOPS UNLIMITED 299-5100
OWNER'S MAILING ADDRESS 3900 Harney 'Street . ' 272686 - - - cnFcIrNFR 3900 Harney Street/San Diego, CA - .92110.. .. . . ... ... . . ... .......-
I ICFNSF it
. . .
STANDARD PLAN it BUiLDINbbU 1-OUTAGE
..........•_\
DESCRIPTION OF WORK- . L. 0. Cbrisman/Architect C-9239
duplex with lot line ' DESIGNER'S ADDRESS ... . . .. . DESIGNER'S PHONE
lan 3B - - 9939.Hibet:St/Sari. D:Lego' 695-3830
- - - -•' '' -- - I3P09 EDU - STORIES
1537liivina595 -storarTe ,. . •, -. YD NO
CENSUS TRACT GP LAND USE - PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT , TYPE 0CC LOAD FIRE SPR
-
- •._\ - - - AREA '- - ' CONST' ./ - . . - - - . . _. •••• - • ------------
V 0 N 0 _V 0 N
-
_vO ND Not Valid Unless Machine Certified
-
QTY. - PLUMBING PERMIT - ISSUE OTY. MECHANICAL PERMIT - ISSUE
-
SUMMARY/ACCOUNT NUMBER
-
EACHFIXTURETRAPS _' - , r INSTALL FURN, DUCTS UPTO100,000 BTU -
-z_ BUILDING PERMIT 01-00-00-8220 --'j--
EACH _BUILDING SEWER _- --_3_Q .- ' ---'OVER 100,000 BTU -..•---'/._._-
—SIGNPERMIT-------01-00-00-8221_- - - - - •--- -
-v. iEACHWATERHEATERAND/ORVENT ,.5 BOILER/COMPRESSOR UP T03HP PLAN CHECK '-01-00-00-8806 z,116.2.J
.,,,,,,...S -EACHGAS SYSTEM iTO4 OUT LETS' ' — BOILER/COMPRESSOR3.15HP, , TOTAL PLUMBING ''01-00-00-8222
EACHGASSYSTEMSORMORE _•' -----2 . - METAL FIREPLACE - _"s-._•
__ELECTRICAL _-- _-.-.-.---.01-00-0O-8223-
- PEACHINSTAL.,ALTER,REPAIRWATER_PIPE: . VENT FAN SINGLE DUCT ' __ - '-j ._-- MECHANICAL _-'01-00-00-8224
v EACHVACUUMBREAKER,..-1. _. ME _HOOD/DUCTS I MOBILEHOME _01_00008225
- WATER SOFTNER _'_____
:_. .._ --.- RELOCATION OFEAFURNACE/HEATER _-... - _--..-- -MOBILEHOME PARK INSP -.-.-..---_..-- ---.----'--'_ --- .-- -
-
EACH ROOF DRAIN(INSIDE)'; - . - ' ' — SOLAR -_01-00-00-8226 - TOTAL MECHANICAL- '
-
'
..
'STRONG MOTION' M809233,0519 -
___.---------g_l.Z
- ('jOTAL'PLUM8iNG ' L - FIRE SPRINKLERS __, _01-00-008227 -'.-
I PUBLIC FACILITIES FEE 1 22.— QTY._L ELECTRICAL PERMIT _ISSUE I . 0Y SOLAR ISSUE -
3200008933
-BRIDGE FEE
NEW CONSTEAAMP/SWT'BKR _.$'.. COLLECTORS SCHOOLFEE _DISTRICT
- I_PH __f_3PH -)_' -'- STORAGE TANKS Carlsbad 80-92-21-0519 -
— EXISTBLDGEAAMP/SWT/BKR _''-- - - ROCK STORAGE ___-- _' -- '- - 'Encinitas ___.'-80-92-22-0519
— I,PH', _L _uiTr__3PH , • ' ' . -: PUMP SanDieguito _80-92-23-0519 -
-
REMODEL/ALTER_ 'PER CIRCUIT --,, - PLAN CHECK FEE -,-Th--'" - - San Marcos 80-92-24-0519 -
-.-•--'• TEMPPOLE,200 AMPS - . -_-i'L -•1.--'- .-. ______.• _-- - - -. - . --
OVER 200 AMPS -r'' LICENSE TAX 01-00-00-8162.
TEMP ÔCCUPANCY30 DAYS) -.-- --,' - "-------- , - - -. - - - - --
-_- - 3.sw
CREDITDEPOSIT
ELECTRICAL o TOTAL SOLAR TOTAL FEESPAYABLE _/(,32 _Oj
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit issued by the Building Official under the provisions of this * Anu she 11 become d CERTIIY UNDEfl 'rEJ4ALTY QF -PERJURY TI (AT ALL INFORMATION HEREON INCLUDING THE Code kRMtT IS REQUIRED FOR EXCAVATIONS OVER re,b ion
pirm-1 is
1and 50" DE AND DEMOLITION O CONSTRUCTION OF - SIUHIES IN HEFHI - DECLARATIONS ARE TRUE AND CORRECT AND I FURTI4FR CERTIFY ANf') AGREE IF A PRMITIS if permit. or the building or work .ad1od by-such permit is suspended or
- ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON' abandoned at any Ii_aRerthe _kis _mmBnced for a period of180 days,STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS APPLICANT'S SI
1.
•TURE - OWNER 0 CONTRACTOR 0 .-APPRovEf BY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
- GRANTING OF THIS PERMIT BY PHONE 0
FA
I s... .- •.- .-.. .... ,,.,
--
TYPE . I . DATE .. INSPEcTOR
BUILDING
- - /
itü R8N FORCED STEEL __
MASONRY ....
GUNITEORGROUT 1
7
FLOOR& CEILING SUB FRAME _
SHEATHING 09 ROOF ftll-
FRAME.
-- EXTERIOR LATH —7-7 INSULATION.. . .. . .. u -
INTERIOR LATH & DRYWALL J
PLUMBING
SEWERANDBL!CO JIPL1CO ! .
UNDERGROUNDA , 11 WASTE 0 WATER ii-N j&p
TOP OUT 0 WASTE 0 WATER 4f- TUB AND SHOWER PAN,--. . ..
GASTEST-----
WATER HEATER ____0 SOLAR
-
.ELECTRICAL..
P ELECTRIC UNDERGROUND D:UFFER
ROUGH ELECTRIC
ELECTRIC SERVICE. 0- TEMPORARY.
BONDING; -0 POOL
MECHANICAL
DUCT & PLEM., 0 REF. PIPING
HEAT.—AIR COND., SYSTEMS.. ..
VENTILATING SYSTEMS
(Mu I FflP FINAl. INPECTION.WHEN ALL APPROPRIATE..
ITEMS ABOVE HAVE! BEEN APPROVED
FINAL •.. ..
_____ ______ _______
PLUMBING .. . . .
ELECTRICAL
MECHANICAL
GAS
... BUILDING ..
SPECIAL CONDITIONS
- -. .. ..- ,. , •-,*. - .-•- - r-'-
._ - .A • • • _... .r - -. w
- '• ,- — 3 s_
FIELD INSPECTION RECORD
flCQUIflCD SPECIAL INSPECTIONS INSPE1 I OR S1NOTES
INSPECTION REQ. IF INSPECTORS . DATE . . . '•t. . ... ..-.
. . CHECKED APPROVAL . . .. . . .......
. : .
SOILS COMPLIANCE . - ... . . .
-PRIOR TO . . . . .
FuuNDuTION INSP
SIHUCIUHAL CONCRETE - .... . . . .. . . .
OVER 2000 PSI . . . . . ..
PRESTRESSED
CONCI1ETE - . ..• ... . .
PflT,TNSIONED . .. •. ....... . ,. ..
CONCRETE . . . . . .
FIELD WELDING -
HIGHSTRENGTH .. .-. ,.p.S .. i-''. . ... P . •. . . . .. . ..• ... • _BOLTS
SPECIAL MASONRY
. . ..
—
- - - - --
-P11 FS rAIsnN -
L t -
__ - C I
. ... .. .
• . .. -- . .. •
....
-
- r.. - . • . ,. .
I hereby affirm that I am licensed under ,
. provisions of Chapter 9 (commencing' with
Smuutlnn 7000) of Dlvlginn 3 nf thai Alminess -
1: and Professions Code, and my license is in
full to [rLt L Class B1
I hereby affirm that I am exempt from the Contrac- ,, 4 • tor's License Law for the following reason (Sec. 1031.5
' Business and Professions Code: Any city or county which re-
. qiriru a permit In rnnstrlirt, alter, Improve, demolish, or
repair any structure, prior to its Issuance also requires the ap- ' plicant fur such permit to file a signed statement that he is
licensed pursuant to the provisIons of the, Contractors - License Law (Chapter 9 commencinl with Section 7000 of
Division 301 the Business and Professions Code) or that is us-
empi therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by an applicant for a permit sub- -
jects the applicant to 3 civil penalty 01001 more than five hun-
dred dollars ($500).
19
0 I. as owner of the property, or my employees with wages
as their sole compensation, will do the work, and the otruc-
' lure is not intended or offered for sate (Sec. 7044. Business ,.a and Professions Code: -,The Contractors License Law dons 'I
5 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 intend-
ml . ed or offered for sate. .11. however, the building or improve- - Z menl is sold within one year of completion, the owner-builder
will have the burden of proving that he did not build or Im-
• prove for the purpose of sale). '
'-
Dl. as owner of the property, am exctnnlvety contracting
- with licensed contractors to construct the project (Sec. 7044.
Business and Professions Code: The Contractor's License
Law dons not apply loan owner 01 property who builds or tm-
proves 'thereon, and who contracts for each projects with a
.. contractor(s) 'license pursuant is the Contractor's License Law).., -.
* - P As a homeowner lam improving my home, and the follow- 4 .109 conditions exist::r. -
,, .. 1, The work is being performed prior to sale.
- - - ' - ', 2.' I have lived '10- my home for ,twelve months
' - prior to completion of this work.
3. I have 001 claimed this exemption during the O last three years. -'
O lam exempt under Sec. - ,B & P.C.
-- for this reason - - - -
', b,, -
0 thereby affirm that I have a certificate of consent
to self-insure, - or a certificate of Workers' I.
• Compensation Insurance, or a certified copy thereof
(Sec. 3800, Labor Code), '--
, . LlCYNO.'9•25O__
COMPANY. Eir,einen!s_Eund._
11011 0'Copy is filed with the city.:
IL - 0 Certified copy is hereby turnished.'
o
'-. ' CERTIFICATE OF EXEMPTION FROM'
• WORKERS' COMPENSATION INSURANCE
- '. (This section need not be completed if the permit
is for one hundred dollars (5100) or less)
cc 0 I certify that in the performance of the work for
o which this permit is issued. I shall not employ any person in any manner so as to become subject to
the Workers' Compensation Laws of California. -
a' ''.j" a
NOTICE TO APPLICANT: It, after making this Cciii
.', I icate of Exemption. you should become subject to
• the Workers' Compensation provisions of the Labor a. . - Code, you must forthwith . Comply with such
provisions or this permit shall be deemed revoked.
Wr-'. •'
lie
of hereby-affirm that there is a Construction
I lending agency to, the performance of the work for which this ueluiru, is issueij 19w. 3091. Civil Ct,'diii' -
Lender's Narne"UfllOfl Bank I&I -
B St i,ener'o AddressS2S rit [ SD,CA 92101
ADDI I('AMT TA Fit I IN INFARMATIAN WITHIN SHADED AREA AND DECLARATIONS vv-
APPLICATION & PERMIT "
'-
- .CARLSBAb BUILDINGDEPARTMENT" - -'
-. - - -- ' - '-'- -- - 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB AUUHkba , ' ' .., .-, ' ., AV.!ST,1OATF, OF APPLICATION . . BUSINESS LICENSE.# VALUATION .- PERMIT NLAMBER
TNafukétLàne Spcs 2122, 25, 26 '
.- 19/1/ 11O
OWNER'S NAME ' OWNER'S PHONE CONTRACTOR , CONTRACTORS PHONEC ,ZONE,, '
1 000-5100 Treetops Unlimited Pacific Scene, Inc 299-5100 - -.
OWNCfVC MAILINC hOOTS , CONTRACTOR'S ADDRESS - ,
13900
LICENSE NO. PLAN I.D. # -. B OG U CODE
3900 Harney Street, San Diego, CA 92110 Harney St/SD. CA 92110. ' 272686
LOT BLOCK J SUBDIVISION 1avera Hlllq I ASSFSSOR PAftCEL NO. DESIGNER L.O. Chrisman/Architect
______________________________________
LICENSE #
C-9239
STANDARD PLAN #
-. . .
-
BUILDING SO. FOOTAGE
. ,1- 'O"
. DESCRIPTION OF WORK . . . ..- :.
DESIGNER'S ADDRESS
9939 Hibert St/SD CA 92131
________________
DESIGNER'S PHONE
695-3830
. . vu . -'
-
F/P FLAELEV.
• ,
-
NO
STORIES
OCCGP
. -
EDU
-a -'
" - YDNO . -
, CENSUS TRACT Ge LAND USE PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT TYPE 0CC LOAD FIRE SPA
• - - - ' -. AREA , - " ' CONST
YD ND ' - vD,rvD ' ' YO teD ' Not Valid Unless Machine Certified
.1
QT(
...._:. -_,, ,-. - .
' PLUMBING PERMIT - ISSUE .
.
. ' - QTY. i . • .1,'
' MECHANICAL PERMIT ISSUE -.,, ',.
4 . , ' - ..
. -' SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 01-00-00-8220 6 5
.' EACH BUILDING SEWER -. ' '' -c --''' -. '- -- ,'* - -- OVER 100,000 BTU- ,, - . - ,. -SIGN PERMIT - --- . . - 01-00-00-8221
EACH WATER HEATER AND/OR VENT -
BOILER/COMPRESSOR-UP TO 3 HP PLAN CHECK 01-00-00-8806 3 75
EACH GAS SYSTEM I TO 4 OUTLETS - • '-. -- BOILER/COMPRESSOR 3-15 HP , • .' ,' - . TOTAL PLUMBING. 01-00-00-8222 -
-. : EACH GAS SYSTEMS OR MORE - —- _ - METAL-FIREPLACE '. . . ,_'- ' - -- .. - . -ELECTRICAL . .. ..01-00-00-8223 .-. ' . • -'
EACH INSTAL.ALTER.'REPAIR WATER PIPE • - -u. VENT FAN SINGLE DUCT - .- - ' MECHANICAL -' 01-00-00-8224 -
- EACH VACUUM BREAKER- - . . - MECH EXHAUST -"HOOD/DUCTS -' MOBILEHOME . 01-00-00-8225 --
WATER SOFTNER - . '- RELOCATION OF EA FURNACE/HEATER - . - .MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) -- ' --. -- -- ,' - . . ' '- - SOLAR 01-00-00-8226
- " S - - . ' - ' - - TOTAL MECHANICAL-. , '.
* S -. ' .
STRONG MOTION -. - 80-92-33-0519
- ' TOTAL PLUMBING .. - I ' ' "' - FIRESPRINKLERS - ' - 01-00-00-8227 - -.
- — . i - ' . ' ' - - • PUBLIC FACILITIES FEE ' 32-00-00-8923
QTY. ELECTRICAL PERMIT -'ISSUE 4- '. ..' . OTY. C SOLAR ISSUE '.- . BRIDGE FEE
NEW.CONST.EA AMP/SWT/BKR - - - . - COLLECTORS ' • . . SCHOOL FEE - DISTRICT
1-PH - - ' , 3 PH - . - - . ' STORAGE TANKS . - ' - . Carlsbad ' . - 80-92-21-0519 -'
-iEXIST BLDG EA AMP/SWT/BKR ' - . ' ' ROIK STORAGE' - ' - ' ' - . -
- .- Encinitas -' 80-92-22'0519
1 PH - - 3 PH _--' •- . . . PUMP - ' -, -• - - San Diegui(0 - . 80-92-23-0519, -
REMODEL/ALTER .PER CIRCUIT ' ' - -- PLAN CHECK FEE , ' ' • - ' tan Marcos 80-92-24-0519
- TEMP POLE 200 AMPS ' - , ''- •' . - : -- - -- -. . -- . - .--.-" ' . .• - - - . . . •- -
'--.-'-OVER 200AMPS -- ' - - :. - ' ., - . - - -
-
TEMP OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL
-
1 TOTAL SOLAR
-
TOTAL FEES PAYABLE
CERTIFYI UNDER
I HAVE CAREFULLY. EXAMI NED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY. xpiration. Every permit issued by the Building Official under the provisions Ofthis AN 06 . RMIT IS REQUIRED FOR EXCAVATIONS OVER
Code shall expire by limitation and become null and void. If the building or work .5' 0" 0 P AND DEMOLITION OR CONSTRUCTION OF PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE authorized by such permit l
180 days from date of ommce tbIa STRUURES OVER 3 STORIES IN HEIGHT D
ch
ECLARATIONS ARE TRUE Nr) CnRRFr,T ANt') I FIIRTHER CERTIFY.AND AGREE IF A PERMIT IS -,permlf. ,
h nr !zed such :usn ;r (_• -' ' - - CON- ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING abandoned at y time slier td"w6rk is commenced for a period of 180 days.
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANIJ fSIGNAii OWNER 0 CONTRACTOR 0 APPROypb.'BY
KEEP HARMLESS THE'CITY.OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND
- . '
-
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 . / , GRANTING OF THIS PERMIT; I
VA I
IIJPFCTIANTYPF - DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION -
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 INSPECT/ON WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
PLUMBING
ELECTRICAL
MECHANICAL
GAS
-
k
BUILDING -
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
-
.
FIELD INSPECTION RECORD ' ciat.tf4z.tZ1
REQUIRED SPECIAL INSPECTIONS INSPECTORS NOTES - -
-
INSPECTION REQ. IF
CHECKED
INSPECTOR'S
APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE .
POST TENSIONED
CONCRETE
FIELD WELDING
BOLTS
HIGH STRENGTH
SPECIAL MASONRY
PILES'CAISSONS . .
--
-.
_____________________ ________ ____________ ________ .' .
- T - 4j
__•_'i_• t. ..---- I-..
71.
1 •,• .•• I
...-. -
-