HomeMy WebLinkAbout1849 High Ridge Ave; ; 83-567-133; Permitf✓•
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and effect.
A No ______ Cla1,
I here~y alf,m, tr.at a-i exer"~T from tt"t C-:;n·•,-,c
1,;;r s L,cerse ,_aw lor tre fol'ow•ng 'eason !Sec 7031 5
Bus,ness and PrJfess,ons Code Any c,ty c, ,:o~0ty which re cu1res a pew11t lo co~s•·uc' all er 1'llprove. demo 1s". or ·e~a,r any struc:-,re pr,or '.a ,ts issJa~ce a'so requ1r~s "heap
~l,cant for sue~ pe",111 to Ille a s,sned stat~~enr 1r.~1 re ,s
1censed p.rs~anT :o the pr~v,s•ons 01 tre Contractor ;
license Law :c~aoler g commenc,ng with Sect,or, 100~ of
D1·;1s1or 3 of the Bus,~ess and Pro'e,s1cns CGde, 8r 1ra11s ex
emot therefr8m anc the basis tor the a leyea exem~t·or Ar·1
vioatIon o1 Sect10~ 7031 5 by an applicant 'or a perm:t s,Jb eels the applicant to a cIvII penalty of noi m0re than f1·,e h•Jn
~red aoIIa,s :~soo:
I, as owner of lhe pcoperty or my em~loyees wit~ wases
as ihe,r sale compensation w1·I do the work a~~ tre struc
ture ,s nol •ntended or altered lor sale !Sec 104~. Business
and Professions Cooe lhe Contracror's License I aw does not apply to an owner of properly who builds or ,mp·o·1es
thereon and wtw does such work h•mselt or Throug~ h;o o"n
em~loyees, provided thal such improvements are not intend-ed or offered 'or sale 1f. however. lhe bulldmg or Impro;e
f'lenl Is sold w1thrn one year of cornple1ton. lhe owner-bu1Iaer
w1I' have the burden of proving that he did not t>uIld or im-
prove fo, the pL<rpose of sale)
I. as owner ot The property, am exclusively conlract,ng
wIm l1cense{1 contractors to construct the oro1ect (Sec 7044 Business and Profess1o~s Code The Contractor s License
Law does not •pply to an owner o1 property who Ou1lds or Im-
oroves thereon. and who contracls for each pro1ects with a contraclor!s) license oursuant lo the Contractor's License Law)
-: As o hooieowner I am Imp,ovIng rry home and the 1ollow ng cond11Lons exist
1 The work Is being performed prior to sale
2 I have I1ved In my home for twelve <non'hs
prior to com?let1on ol th,s work
I have not claimed This exemp·Ion during :he last three years
I am exemp: under Sec -----~ B & PC for this reason ____________ _
D I hereby ,il!,rm !1"101 I 110,e o ce<1,l1cate o' co...,senl
10 sell ,nsure or a ceri,1,cate ot W,,rker~
Compensalion Insurance or a ~er1,f1f'{l (·op; therent
rSec 38CO Labor Code1
POLICY NO
COMPANY
D Copy Is tiled w,tn tne c,1y
D Ce'11f,ed copy Is hereby lur~1shed
CERTIFICAH OF EXEMPTION FROM
WORKERS COMPENSATION INSURANU:
(Th,s section need r,ot be completed ,+ 'hp ;,E'r""' ,~ tor one hundreo do•lar5 1S•001 c" ,es~,
D I ceri,fy \'lat ,n the performance o' the "'""' 'Gr
..-h,cti 111,s perrn,t ,s ,ssued I srloll nol e--rplc,, ~n·,
person ,n any rn,mner so as lo becomf' ~,.,t!e I t
the Wo,..ers Cornpe~s.a1,on La"'s ,)t CaI,lc,,~.,a
NOTICE TQ APPLICANT If afler rnak,n~ thI~ Cf'M1
lica!e o! E,empt,on 101.o should become oubIec1 t
the Workers' Compensot1on pro~Is,ons o+ 'he Lat>o·
Code you .,-,~sf 10<1h"'1th 0 omply ,.,tr ~'" h
pro~,s,ons o, :l">,s perfT1,t sl">all bf' oeerr,ed •f>.<i•ec:
□ I tiereby aft.rt"" Iha! The,., '~ d ',,,,s,,u, I ,,r
enO,ng agenc~ •0• r~,, pf'rf ,rn•arn t ,,• the ,.-c:,n< r-;r
..-h,ch 111,s perrr" ,s ,s~eo .Se, YJ'll ,:.,,.,, C,xJ,-
, enoer o Name ___________ _
Ler.oer s Aoo,ess __________ _
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST.RO. NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE # VALUATION PERMIT NUMBER
1849 Hi2h Rid~e Ave. Tamarack 1,/1(,IOC nn•~ 106.042 83-567-133
LOT'l 'll BLOCK l ;6:.c15si~; I ASJJcn' p~.:-NO' I)' ou CONTRACTOR CONTRACTORS PHONE # ZONE 1 <
OWNERS NAME STANA n •• -'1.-:i--; . /,O'l_, nn.-.. OWNER'S PHONE 1 ...................
F & MAND ASSOCIATES 483-4880 CONTRACTOR'S ADDRESS Suite 215 LICENSE NO. PLAN 1.0. # BLDG USE CODE
OWNER'S MAILING ADDRESS 4241 Jutland Dr •• San Die<>n. r 1.n1,1on
4241 Jutland Dr., 11215, DESIGNER L!CE NSE # STANOARO PLAN#
BUI/N}/°i/~AGE San Diego, CA 92117 ARAM BASSENIAN AIA ASSOC C8395 DESCRIPTION OF WORK CONSTRUCT SINGLE FAMILY RESIDENCE 0Es1GNeR·s AD□REss 1/170 Newport Bch. DESIGNER'S PHONE 'v'
3990 Westerly Plc. CA 92660 714-752-1864 ~ PLAN 3 -t -~ ~-----e e F LR ELEV NO ace GP EDU
STORIES
.. c_: "'Cl --? D o 1 ~ c4--CENSUS TRACT I GP LAND use ! PARK~;;PACE RES U;ITS I GRADING PERMIT ISSUEC I REDEVELOPMENT TYPE DCC LOAD F-IRESPR ""-.It ~ AREA CONST
N~ :\ lau Milchme Cert1//ed YO N □ -C ,[x VN vO ,._[_7
'"/~ ii QTY 3-SUMMARY/ACC~ ,Jl '---QTY PLUMBING PERMIT· ISSUE MECHANICAL PERMIT. ISSUE "'' 12 EACH FIXTURE TRAP ,n nn J_ 1 INSTALL FURN DUCTS ,JP TO 100 ODO BTU 'I.U\J BUILDING PERMIT 01-0l ¼:' 451 nn
J,_ EACH BUILDING SEWE:R -·--•-· -6-.5Q_ ' OVER 100.000 BTU SIGN PERMIT 01 ·0 ~
~------t---------6 --
1 EACH WAHR HEATER ANO OR VEN~--_________ _2_.S_Q_ BOILER,CUMPRESSOR UP TO 3 HP PLAN CHECK 01-00 000 AA
II-----+-------
1 EACH GAS SYSTEM l TO 4 OUT LETS 2.50 SOILER-COMPRESSOR 3-15 HP TOTAL PLUMB'NG ~'.' 49.00 -------+---------
EACH GAS SYSl t.M 5 UR MURE I : \IETAL FIREPLACE ELECTRICAL 0 22 -----------+ ·--------EACH INSTA~ ALTER, REPAlfi ,';ATER PIPE i 'VENT FAN SINGLE DUCT MECHANICAL 01-0 22 7.00 ---+ -------+-----· -« -r----.--rill-~ EACH VACUUM BREAKER , MECH EXHAUST HOOD DUCTS MOBILEHOME ,.:r
------------'--WATER SOFTNER RELOCATION OF EA FURNACE-HEATER MOBILEHOME PARK INSP ~---------------
t--_J_ ~'? Q'.JIJ~ ;:;.:,,"'J ' -.~, ',~ ---SOLA_B_ 01· 1 .., 6 ------------
j I TOTM MECHANICAL STRONG MOTION 80--33-0519 7.42 -· 49.00 I T[JIAl PIUl/fJINi,
' 7.nn FIRE SPRiNKLERS 01-00-00-8227
.s--I QTY. I PUBLIC FACILITIES FEE 32-00-00-89ll 2,120.0Q QTY ELECTRICAL PERMIT· ISSUE SOLAR· ISSUE < -----
ii ' / BRIDGE FEE ---------
~t:\',' CONST EA AMP S',Vl tlKR 100 amo 25.00 ' CCL EC IV~ [/~ SCHOOL FEE· DISTRICT ----I------
I PH ; PH II , SP::RAU: T,\t,~S ,:,. , . I J/ .v A Car!sbad 80-92-21-0519
E,:,1ST fl LOG EA AMP SWT RKR I i RCCK S~JR.'.\'.;F IY V ,vt' Ar""" Enc1nItas 80-92-22-0519 --
i k·-------------I PH I PH PU1,1P I /1,.AI"' ,I ,;V ·II •r ~ San D1eguIto 80-92-23-0519 ------
R[r,,1Q[J[L AL llR PER [IRCUIT PI_A'J :e<r,:k '~[
V' II ~/!!1;L /'. San Marcos /2 s0.-92-24-0519
' ----J fEMP PULE !OU AMPS PnY"lr--:-1; -·· 6"· JlQ_, ~-· -
0\'ERJ(l(JA"'1PS I r1 LICENSE TAX 01-00-0cimll'.2
TEMP OCCUPANCY ·30 UAYSI ~ MFF 80-92-57-0519 --_8ilil_._O 0
I I ' I CREDIT DEPOSIT
30.00 I
-------i--1 ii l Al El I: I, TH I1:A L I T(]TA.l so :iR
I I i I TOTAL FEES PAYABLE 4,491.42
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT' AND DO HEREBY Expiration. £very perm,t issued bytheBuild+ng Of1,c1al under the prov1s,ons of this *~~:TIS REQUIRED FOR EXCAVATK)NS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by !im1tahon and become null and void ti the budding or wor~ 5· o·· DEE ND OEMOt.FTK>N OR CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s not commenced w,th1n 180 days !rorn the date of such STRUC RES OVER 3 STORIES IN HEIGHT /
ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON-:~i::~n~
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STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APP T' OWNER □ CONTRACTOR 5> APPRO~}
ID~/ t/&"'" KEEP HARMLESS THE CITY Of CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND ()N S SIGNATURE >/-&,
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAJD CITY IN CONSEQUENCE OF THE C
GRANTING OF THIS PERMIT ~ A ✓ _ '_/..,✓,. BY PHONE 0
' ,,, -.,
TYPE ' DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT '
FLOOR & CEILING SUB FRAME ' SHEATHING □ ROOF □ SH~AR
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL '
' PLUMBING I
SEWER AND BUCO DIPUCO ' UNDERGROUND □ WASTE C7 WATER
TOP OUT □ WASTE □ W/1\TER
TUB AND SHOWER PAN '
GAS TEST '
□ WATER HEATER □ SOLAR WA1ER
'
ELECTRICAL '
□ ELECTRIC UNDERGROUND □ WFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL '
'
MECHANICAL '
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS '
VENTILATING SYSTEMS I
'
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE, BEEN APPROVED
FINAL I ,r"'
PLUMBING ' -I(_)
ELECTRICAL I ,, ~ --
MECHANICAL ' ,,~-, ,v
GAS ' \ -l.
BUILDING '
SPECIAL CONDITIONS ' '
'
-. C cg-a::o--i. 7-1g3
FIELD INSPECTION RECORD .
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
!NSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL --
SOILS COMP~ .ANCE i
PRIOR TO I
~O<...;.l\;DATION INSf-' ' ---STRUCL;RAL CONCRETE ' OVER 2000 PSI I
P>'lESTRESSED
CONCRETF
POST TEN~,,ONEC .. ..
CONCRETE .
FIELD 'AEL:J1NG
-----;----------Hl,~f-, S RENUTI--' i ElOL Ts i
::OH'CIAI MASGNRY !
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!
PILES Cf\lSSOr-..:· }----t--------
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f'fJ. t hereby affirm that I am licensed under
~lslona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code. and my license is ,n
lull forc:,a~n~1-e.,_e;i;t. , a· Lie No -Y._i.e__ f(, Ca,, ~,,_b,L __
I hereby affirm that I am exempt lrom the Contrac-
tors License Law tor the foliow•ng reason (Sec 703' 5 Business and Pro•ess,ons Cade Any c,iy or county wh,u re-
quires a perm,t to construct, alter. 1morove demol,sh o,
repa,r any slruclure prior to ,ts issuance also requires !heap-
plicant for such perm,t to !,le a s1~ned stalement that he 1s
licensed pursuant to the provisions ol the contractor's
License Law (Chapter 9 commenong with Section 7000 ot
Dw1s1on 3 01 tne Business and Professions Code; or that ,sex empt therefrom and the bas,s for the alleged exemption Any
v1olat1on ot SecI,on 7031.5 by an applicant 1or a perm,t sub 1ects the appl,canl to a c,v,I penalty ol no! more than l!ve hun-
dred dollars ($5001
I, as owner of the property. or my employees w,th wages
as their sole compensation. will do !he work and the struc·
ture ,snot In1ended or o!fered for sale (Sec 7044. Business
and Protess,ons Code The Con1ractor's License Law does
not apply to an owner of property who builds or improves
thereon and who does such work h1mselt or through his awn
employees, provided that such improvements are not intend·
ed or oHered tor sale. If, however. the bu1ld1ng or Improve-
men1 is sold w1th1n one year of completion. 1he owner-builder
will have the burden ol proving that he did not build or Im·
prove for the purpose ol sale)
U I, as owner ol the property, am exclusively contrac11ng with licensed contractors to construct the project (Sec 7044
Business and Professions Code The Contraclor's License
Law does not apply to an owner of property who builds or im-
proves thereon. and who contracts for each pro1ects with a
contractor(s) license pursuant to the Contractor's License Law)
□ As a homeowr.er I am 1mprovIng my home, and the follow Ing condIt1ons exist
1 The work is being performed prior to sale
2 I have hved in my home for !welve months prior to compJet1on ol this work
I have not claimed th,s exemption during the last three years
□ I am exemp1 under Sec _______ .BI!. P.C
for this reason
'Q. I hereby atl+rm that I ha,e a cert,t,cate ot consent
lo sell-msure. or a cert1t,ca1e of Wo•kers
Gompensa1,on Insurance or a cert1l1ed copy !hereof
(Sec 3800. labor Code)
POUON0 ,;;;-;<1-tVfbl'?Of 33 I
COMPANY i;I. Copy IS filed with the c,ty
D Cert1l1ed copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(Th,s section need no1 be completed ,t the permil ,s to, one hundred dollars {SlCIOI or 1ess1
0 I cert1ly that ,n the performance ol the wor\ fo,
which this perrrnt ,s issued. I shall no1 employ any
person ,n any manner so as to become sub1ect 10
the Won..ers Compensation Laws ol Calilorrna
NOTICE TO APPLICANT II. alter mak,n] th,s Cert,
!,cate of Exemption. you shoul(l become sub1ect 10
the Wofl<ers· Compensation pro-,s,ons of lhe Labor
Code you must forth..,,th comply w,1h ~uch
prov1s,ons or this perm,t shall be aeemed re,okeO
D I hereby aftlfm 1hat tl"1ere <S a coristruc•,cw
1end1ng ~ency to, me pe<'u,mance ol the work to,
wr,,ci, 1r,,s perm,1 ,s ,ssueo ·.Sec YE? Ci,11 Code,
Len(ler s Name ___________ _
Lenae, s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
NEAAESTCROSSST. t?-eEAM,T NU:~A
lj;#
PLAN I.Q_ #
STANDARD PLAN# BUILDING SQ. FOOTAGE
Retoin,m llh//::: ,,.;.;.; C';=k,.,.,Al1.',;,1':k,.;.
"-_-,--.~--"7~····· 5""':!f7!r;J•,r>.~:J". :~··--:y.it'·~-~.>'~;•• ] F/P FLAELEV lh~ ,I';.,·_ ,,ui•·'. -~',;,,l•;_t.v'~ry' __ ,.,r..!;.;...,•~i.•"". r'_-" _' 0 0 ~"~. c.r1.'\·"'-"'Lt.·1'12·~~"'"' 3·,fp,(o ,:-.4'~7f?t-r't-:rt1•• v N
<!°ENSUS TRACT GP LAND USE PA"R'i<.ING SPACE RES UNITS
NO
STORIES
TVPE
CONST
OESIGNE A'S eHONE
OCC GP EDU
OCC LOAD FIRE SPA GRA~G PERMIT ISSUED
y □ ND l REDEVELOPMENT
AREA
YO r-..0 vO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE 7.,so QTY. MECHANICAL PERMIT· ISSUE J,p,; SUMMARY/ACCOUNT NUMBER
,,_/ I __,,,..
EACH FIXTURE TRAP ~ I INSTALL FURN. DUCTS UP TO 100.000 BTU I I BUILDING PERMIT 01-00-00-8220 [ U-,IJ__._ ....._\n
EACH BUILDING SEWER I I OVER 100,000 BTU--+ SIGN PERMIT 01-00-00-8221 '
EACH WATER HEATER ANO/OR VENT l BOILER/COM-PRESSOR UP TO 3 HP --PLAN CHECK 01-00-00-8806 ~KC,::..(
EACH GAS SYSTEM 1 TO 4 OUTLETS ' BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 ~, I
I I EACH GAS SYSTEM 5 OR MORE -METAL FIREPLACE . ELECTRICAL 01-00-00-8223 I I
EACH !NSTA~. ALTER. REPAIR WATER PIPE VENT FAN SINGLE ouCT MECHANICAL 01-00-00-8224 I I
QTY.
----~-
EACH VACUUM BREAKER MECH EXHAUSl HOOD/DUCTS MOBILEHOME 01-00-00-8225
WATER SQFTNER \I I RELOCATION OF EA FURNACE/HEATER I U MOBILEHOME PARK INSP
SQl,A_R_ __ EACH ROOF DRAIN IINSIDE1 TOT.lil MECHANICAL STRONG MOTION
TOT Al PLUMBING I FIRE SPRINKLERS
ELECTRICAL PERMIT· ISSUE 0;& QTY. I SOLAR -ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
NEW CONST EA AMP'SWI l:lKR COLLECTORS SCHOOL FEE -DISTRICT
I PH ]PH STORAGE TANKS Carlsbad
EXIST BLOG EA AMP/SWT:BKR ROCK STORAGE Encinitas
1 PH 3 PH PUMP San Oie_g_uito
REMOOEL·ALHR PER CIRCUIT PLAN CHECK FEE San Marcos
TEMPPOLE 200AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY !30 DAYSI
CREDIT DEPOSIT
TOTAL [LELTRICAL I TOT Al SOI AR TOTAL FEES PAYABLE
fil.:_Q_Q_-nn-R??'-
80-92-33-0519
01-00-00-8227
32-00-00-8933
80-92-21-0519
80-92-22-0519
80-92-23-0519
80-92-24-0519
I
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j HAVE JAREf(jLLY ;;~~~NEb TH~M~tt~;~~~M1i::'~'Dt>~~BY'
I , OERTtFY UNDER PENAL?fY qF, PE_f!JtfflY ,:ffi~l', f'il-_t t ~ --~TJ0fi4_,Ji'iftf:Ot,j lN&LU_DtfiG THE
DECLARATIONS'ARE-T~ANO C◊RRl:CT A1ttt~ ti::iOWYsA:tkf'AGREEfF~ ~MIT IS
"!SS(JED: TO 00-Mf't.Y""Wffli ·ALL Ctff;CQUNi¥ ~-Sl-Mt-~'60/LDING,CON-
STRU. CTlON. WHJ;Ti:!Elil SPe;'.J_ ,fRED.~fffiiN "QR t40'f.·-t_7AlS,O;AGR_ EFT"Q SAVE l~'QJ;:. Mf!IJF¥ AND -:~_P H~~t.ESS J11!&-0fr(DF ~~~~ltST ~Q.-l~EJl,1,.IT!ES..,,J\IOGMa,;is, oosrs AND
EXPENSESiWl-UCt#MA,'Y JH ~lltY:$'¥':~(H'\IJf_:::~AffiS;f';fJ\IQ Ctrt, I~, ~~~E~f THE
~~:::~~=~:~---~~,=~~~~ -· t: ¼ ~--l-J>~as.~~~~TfDMl_-.~-'.' •utMr~~-.uci,,~'!tlnotcogu:9~ _ . , ~y~ro,ti~~==~·:. 5 r '~:OElitotmo~u•~~~-_,
perm)t ,or 11 ~ building 9t work au_ thotimt-W 8UCh permtt is ausp81"1&rd' or ~,OWA l STORIES lf!t HEIGKT, ' atlandonedat ttme·afflirt'htrWOll1t:ts ·• rtod,of:tett' · · ·"
l•,GftANTIMG,OF~~Nf!~ 'Rm',,',, :j-,"'lJ,'ij.h A ' , , ~
APPLICW~-. ._· ·.• .. .8 ~'I' ;.~i;m';l (;ONTRA/:~ · . · . •~ ' • · ~-;)II" SY -•i:r ·~~;n..:,+ ~;J. ./AL~_'"'._'_ .
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TYPE I DATE INSPl'CTOR
BUILDING ' I
FOUNDATION I
-----·---
REINFORCED STEEL I
MASONFW ' I --· -------------
GUNITE OR GROUT I
-------------
FLOOR & CEILING SUB FRAME ' n sHfAH =~ ------
SHEATHING □ ROOF
FRAME I
-I---------------------
EXTERIOR LATH I
INSULATION --r--
I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
' SEWER AND BUCO □IPL/CO I
UNDERGROUND □ WASTE [l WATER
TOP OUT □ WASTE □ \/\{ATER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR W,4.TER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND □IUFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
' I
MECHANICAL ' I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL I
'
PLUMBING I
ELECTRICAL I r-, " MECHANICAL I 1, -%' --I
GAS I ... .... -/
BUILDING I • V/ 1/' L/
SPECIAL CONDITIONS I/ lo /'\
I -
-----------------~.--c--~~~--------------:;c-c::---=--c:--------------------, ~ %~-Sb7~~
LO INSPECTION RECORD
-----------
-R~_OUIRED SPECIAL INSPECl IONS INSPECTOR'S NOlES •=• _ _ --~~
• 1 • -RE"Q IF INSPECTORS
INSPECTION CHECKf:D APPHOVAL DAl E ·--------===~-~-~~~--~•~=F~"~-==~===-" ,-----------·-·------------------------------------
~;~ii~~ ~gMf'L_IANU t----------____ __ _ ________________________ ·----------· ____ _
f ULJI\./QA·~-ION INSP
c------------------------1--------
STFlUCl URAL CONCRE:.TE
OVER 2000 ''SI
f't1ESTRE"SSED
CONCRE l E
f--,OST T[hlSION!-[l ---f-------f--------t------
CONCREH.
r1ELD WELDING
---------------
HIGH STRENGH-•
~O! _~--------t-----+--------j--------j e------------· ------------------------------,
~[C-l~L MASm,cn---t------+---------j---------1 f----------------------------------•
PILES CAISSON~'.
~-
. r-~ ----------+----1------
i------------· ---· ---
.