HomeMy WebLinkAbout2347 Pio Pico Dr; ; 55-1072_MISC; Permit.. ~ . .. '
APPLICATION FOR BUILDING PERMIT
PERMIT
CITY OF CARLSBAD, COUNTY OF SAN DIEGO, STATE OF CALIFORN!A
N9 1072
DEPARTMENT OF~~ -!UILDIN~TION DIVISION Dale .3. .. '.: .. 2./ ~··!~
Ow,o, .... £..i"Pi~;;~···P·;j~j···F;·1/'L~jA .......... 7···'········Add,ess .. ~J. . .l..Z.~·;;.:p·~.
~:::,::::ct···;;··~~;:~~;;····~········ ················;,··Add,;:•~·;;~··;;::····~~:;::::;::::::::::::::::: .·
Type of Construction .. /.~ ... Kirid of Floor ...... ~=rf!. ........... ro be used for .... ~ ... /s..~
Number of Stories ................ / ........... Number of Rooms ············~·---·--·----Kind of Foundation ... ~L.
Feet of Floor Space.-............. Feet of Soroge-Attoched O ···-···········Feet of Garoge-Detached D--··--·-·--·
I~:: ,:~::•by~,i.'..'1 ..............
8
.
1
.
0
.~.k···································~·~:.::_ :."I::;~, ~ .. ~i~~DY.:.~ Pe,:i:b Fee/~ .... '..~ ..
I hereby acknowledge that I have read this application and
stat• that the above is correct and agree to comply with
all city ordinances end state laws regulating building con•
st ruction.
lnspections Form __ Floor __ Final __
. .
Mrs, Thelma Kelley 2247 Olive Drly•
-Carlabed, Caltfornte
Dear MrR, Kelleyt
re: ")_ 3 '-1 '7
Pebl'Uery 2, 1961
olioei
Pio Pi'co '
Or11Je...
We are la1utng an electrlcAI. patmlt for certain work to be dona at the
above addreae, Please be advtaed that the laaURnce of thte patmlt 1• not
to be conatl'Ued tn any manner by you a• negating the provlatona of Art,
17, Section 1704A of Ordinance 9060, The provtetona of thl• ordlnence,
tn short, require that the nonconfonntng u1a of a conforming building
1hall be dt,continued ftve years from the enactment ot the ordinance, or
tn your particular caaa, October 16, 1961,
WR/ml
Very tl'Uly youra,
L,J. llatc 11 ff
Building ln1pector
-·
·-?-3 t/7 0/1v~ Pto P1'co Drt've.-
(Mrs, ihe.ll'>t.., f<.,., 11-e '1)
JBX1uar7 8, 1957
State Fire Jllarshal.
State F1re Department
1100 South Orand Avenue
Los Angeles lS, Calitorn1a
Dear Sir::
The Citl ot Carlsbad Ordinanoe No. 906o,
adopted on the l~th da7 ot Ootober 1956, under
Art1ole 5, referring to B•l Zone• One-Pall117
Residential Zone, under pel'll1tted uses regarding
renting and oooupano7 or bu1ld1nge, Se0t1on 5 states
as followsi
• The renting ot not more thall two rooms
to not more than tour persona, or
providing or table board to not more than four boarders, or both, but not
to exoeed a total of four 1n an1
oomb1nat1on thereot.•
Under thla seot1on there 1a no provision
for rest homes 1n this zone.
KOB/wfa
ii M. O. BWALD
luild1ng Inspeotor
.•·---··~-------------~==-·-·-=-------------~-~-~C., •,_,_ ---------. . -.-State Fire Department
Mr. Joe Yockers
1100 Sourth Grand Avenue
Los Angeles 15, California
San Diego, California
November 13, 1956
Please make an inspection of the following boarding hame and send your report to
this office:
Mrs. Thelma Kelley
(Name)
2347 Olive Street, Carlsbad, California
(Addr .. ss)
Oirections for reaching:
'
Type of Care:
AMBIII,A'IPBY -AGED
Capacity applied for:
NINE (9)
Additional information:
THIS WAS APPROVED FOR EIGHT. THERE IS AN OUTSIDE BUILDING.
wblob boueea one pereon. Pleaee lnepeot tble bu.lldlng.
EBW:gm
001 Louie Almgren
FORM AC. AG. 41 JUNE 1944
. . ....... ,. re ·. d-3 LJ 7 01 t Ve ·
P,-o Ptco 0-r,
~,~~
~~-
APPLICATION FOR BQDING PERMIT
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
4027
fp1::;. ~~;~~,~ 1/.«f;'y·········~·············i~iddi~j ..... Mailing Addrass ,;;)~i,f.?..t::j(jlLec;iyf1~Ph~~~
Contraclor~~/Y. ... B/?J~'D.t), . ./.S ............ -Mailing Address ..... 27.f/, ....... ~ ......................... ..
(Pleose Print} / Number Street City Phone
To Construct D To Add D To Alter ~ To Repair O To Convert O To Move From ........ . ......................... .
Address
Type of Const.~ Kind of Foundation .... ~l ....... No. of Stories ... --/----·· To Be Used for .. .
(Frome, Mosonry, Etc.) <J AQ_ (One
Floor Space of Proposed Construction (sq. feet) .. .Nll./lt.'.'.f. ............ Const. Valuation $ .... r.,,;J,_QQ .................... .
Family Dwelling, Store, Etc.)
Floor Space of Garage (sq, feet)
etteched 0
............ detached OConst, Valuation $ ..
LEGAL DESCRIPTION ··········---~·-··· Loi Block Subdivision
LAND AREA ............... .. .... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE ..
:~~·IT~~:;ND L~~;T.I~: ~N PL:~.p~ CONSTRUCTION INCLUDE ANY PLUMBING
(INDICATE
INSTALLATION, ALTERATION, OR
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION,
1f a check is tendered for p·ayment of the above fee and the check is
not honored when J.resented for poyment, your Building Perrnit will be
immediotely revoke .
Front Yard Set Baek Driveway Permit Required Yes (
Si de Yard Set Back . Grading Permit Required Yes ( )
No !L..r'F'ee
No(~.
Rear Yard Set Baek ....... . Sewer Disposal Plant Capital Cont. Fee ...
Distance Between Bldg.
OH Street Parking Spaces .
Sewage Disposal System ......... .
Zone -Residential (
Zone -Commercial
Variance
Eng. Check By ..
) .....
I .
Sewer Pumping Station Capital Cont. Fee
Sewer Main line Cost ..
Sewer lateral Connection Charge .
Water Stocked Lands Charge .....
Water Main Pipe line Fee
Water House Service Charge ..
Water Meter Clu1rge
Sub Total ..
Total Charges
) . , CITY Of CARU8AD 8812 PlN1NG
BUILDING D•ARTMENT PERMIT. APPLICAnON
-r1..-/ ·~ ... r;,. I fv OCT 22·65 ~ci:21152*******3.
OWNER
PAID
MAIL ... n, r1,.~ .... -.... , ADDRESS ,
-., ....
-I . C. .;. -TEL. NO.
:g/,~°.!r.G ·.u ,!:7 ~< ~.~Q
J...I T" \ "-e., CITY
PLUM PR .IJDM' •• ~1·111L.. ,-.. ~~J--. ,,1. A. ~z.,.
ADORER~ ~7?-.57r .. -' NEAREST ·• CROSS ST. ~ , --
GROUP ! CITY . .2?.· • j_: -TEL. NO~~~ ' .. ZONE STAT'£ · , CARLSBAD auiiiii lnspec:tion Rec::_ora LICEN~ LICENSE NO, ~~ ~ ·, -NO, IT~M EE
~ TOILi;T. • St,2!5
.
BATH TUR • ue
SHOWER • 1,21$ --
WASH El,ASIN • 1,215
KITCHEN SIN" • 1.215 ... .. ·-·-DISHWASHER • 1.215
LAUNDRY TUB 01' TRAY • t.215
AUTOMATIC WASHER • 1,2!5
-; -· s -·
WATER Hii:ATER a VENT .. 1,80 .
GAS SYSTEM 1 TO 1 !5 I ~I) . 30 EA.. A.DD. • t.!50
FLOOR DRAIN OR SINK • 1.25 ' LAWN SPRINKLER • 2,00
MISC. WATER PIPING • ,.,o .. GARl!!IAGE!; DISPOSAL • t.oo , •. .... VAC~~t.t if'IEAl<&R OR 9tcK FL W EVICES t TO • 2.1)0
APPROVALS PATE; INSPECTOR•• SIGNATU!t'I
UNDER FL,OOR WORK
ROUGH PLUMBING
Gl'ADINO ~N PERMIT • 2 "" 9:AS PIPING
. '
11100 ~ <~ GAS VENTS --. ' YJ$Q TOTAL FEE • ,~:
PLUMIIING FIXTURES , ·:~·'
I ACKNOWL'!D(fl THAT I HAVE 'READ· THIS APPLICATION
AND STATE ·THAT THI! ABOVE IS CORll&;CT A~D AOI\Elt TO MISC. COMPLY WITH ALL C.tTV OROINANCES AND STATE L.AWS
REGULATIN(; PLUM.I.NG.
I CERTIFY THAT I AM PROPERLY REGISTEflED AND' L.I•
CENSED AS REQUIRED ev THE;: CITY OF CARLSBAD .AND GAS TEST STATE OF CALl.f'OfltNIA OR THAT I AM THE LEGAL C,WN!ft OF THE ABOVE DESCRIBED RESIDENTIAL PR0PEPl'rf, UTILITY CO. NOTIFIED .
SIGNATURE ""dc, .... a.,~ ... ~ FINAL OF PERM ITTEE
•· VALIDATION .,
Th1s is a Plumbing Permit When Properly Filled Out, Si;j.ned and Velldated.
Permit void 1f work is not co.mmenced within 60 days of"·dat• of issuance.
so
"' z 0 ~ " .. ~ u w Q
" w Q
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z 0 ;::
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D I hereby affirm that I am licensed under
provisions ot Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license 1s 1n
lu!t force and effect
L,c No ____ _
I ~ereby afl.rm t·.a· 1 drr e,e-~1 trcm
tors License Law for the foli.:;w,n~ reaso1
Bus,ness and Proless·0ns Code Ao1· c1:y O' ·e
ou,,es a perm,: !o co"st~.,ci ai'e' 1""8'J•1t
rep21' any s:ructure pr,c· 'G ,•s 1ssu.:;nce 21,c requ
pl,cant for sucn pe'm1T T~ t, ea s,o~ed s1atemec' .,
1.censed p~,,~ar,t ·o the oro·J1S·On5 ot 'he C~n1raci0r,
L ~erse l w1 ·Cha8:e~ :J ~o~'Tlenc,r,g w 1" s~,· :,n 1·:JOJ ,r o,,,s,on 3 21 the Busness and Pro'es1,ons CJ~e, or rrar , e,
e,rpt !hecefrJm and :~e bas,s to· the alleged e,r,q,p; on ~r1
1·::r,,·,or :if Section ~031 5 Dy an aool•Ldnt 'or a p~'rnil ,ub-
e:'s 'he apDl1cd~t :o a civP pe1alTy of no· mo'e Than' ·,e "'J"
deer. dollars i,S',O/c,
as Gwne' of the p·c~er:1 ~r "'Y emr,'ov(:es ·;,,•t, as t~e,, sole cor,pensat1or ·;,11 d:J •ie ;,0rk and ·ne
•ure 1s nol ,ntende~ ~r Qf'erer. for sae !Sec 7~4~. Bus,,ie;s
and P·ofess.ons Cooe The Contractor s 11r:e~:,e ~di'/ doe,
not app y TO an owner of pro~erly •;,ho builds ~r 1mJroves
thereon and whc does sucn worl< h.msel' or through n1s own
e""1p'o1ees. prov•ded that such 1'nµrovernento are not intend
ed or of'e-ed 'or sale If howeve' the building or 1r>'p,c·,e
rent ,s sold w1:nin one year ol completion the owner-bu<lcer
v,,11 have the burder, ol prov1~g thaT he did not build or,,.,_
prove tor tr,e purpose ol saleJ
I. as owner ol :he P'OJerty am ex:ius1·,ely ccn1racr1ng
with licensed c;ontrc.ctors lo consrruct the p·o;ect (Ser, ?044 Business and Professi~ns Code The Contrac1or's L1cen~e
Law does no: a poly 10 as owr,er 01 property who ~c:·ds o· rm
proves Thereon ;,nd w~o wntracs tor eoch wo1ects w1Th a
coniractor(si license pursJant to the Conlrit.Oor's 1 ,cense
law I
1 As a homeowner I am 1m~rov1ng my home and toe follc,w
1ng cond1t,on~ exist
1 ":he war~ 15 being Jer'orrned prior to sale
2 1 have lived 1n my home !or twe,,,e rnonrhs
, prior to complel,on at this work l I have not cla,med this exemoT1on d""ng '.he
lost thr~e yew~
:0, t'h~: ,!~:~it under Sec ------B & D c
I nereDy aff,,m that I have a cert,•,cate o• consert 10
scl'-,nsure. or a cect1t·cate of Workers Compf'nsat1or In
su·a~ce o· a cert,iied copy the,eol :Sec 3500 Labor Code',
POLICY NO
CO~PANY
Copy ,s liled w,th the c,ty
Cert,lied COP) 1s ~ereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1Th1s section need not be completed 1f the per'Tl1t
,s for one hundred dollars 1$1001 or less)
I cer11fy that ,n the performance of the work lor which
tn,s ;,erm1t 1s ,ssued I shall not employ any person 1n any
manner so as to oecome sub1ec1 to the Workers· Compen-
sa11on Laws of Calrforn1a
NOTICE TO APPLICANT: If. after makong this Certificate
of Exemption. you shOuld become sub1ec1 lo the workers
Compensation prov,s1ons of the Labor Code. you must
forthwith comply with such provisions or this perm11 shall
be deemed re,oked
![ L: I hereby affirm that there is a construction •ending
agency ro,the performance of the work for wh,ch this per
mil is issued {Sec 3097. C1Y1I Code)
Lenders Name
Lender s Address
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008·1989 (619) 438-5525
JOB ADDRESS AV. ST.RD. NEAREST CROSS ST.
l.A-:> -Pl 0l, ~
LOT BLOCK I suao1v1S10N l ASSESSOR PARCEL NO CONTRACTOR
OWNE R·s NAME A.le "'2-( I ep CDNTRACTDR·s ADDRESS
I OWNER'S MAILING ADDRESS
DESIGNER
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
APPLICATION & PERMIT
BUSINESS LlCENSE # VALUATION PERMIT NUMBER
g5-
CONTRACTORS PHONE• ZONE 1f'S
LICENSE NO PLAN 1.0. # BUILDING SQ FOOTAGE
DESIGNER'S PHONE
c ~ 0 0.
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0 ('J :l-==9,=GJ=!~j,./J='2.::,,,.-=~=5~_aA7""""n,,~~~-'L=-~~~~~----l
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l-0-'_s_c_"_"_T_'0_'_0_'_w_o_"_K _ _,,,'l;>~,e,_,..'-~\.c.),,,.~(~t£.::::l~r,:,:..=_C.'7-__ ..LCC::Z~CPe:,:_~/t:J~l,,tc.!.~1',L.._._ "~<-l::,.cJl.c.::,"~._..~,,~,'.'._i-lco~,~s~1~c~N~,~R~S~A~D=--=o=R~,~ss,------------------l~L~IC=E~N~S~E'""No=--. ----1
I I
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l 0/30/864 638
0001 ~63B I 0/90/ 95
ooor4@36 01
Tll;oo BP ro;oo JL
TOl!Otef
F.P FLRELEV
REOEVEL8PMENT
ARE:A
TYPE
CONST
DCC GP EDU
OCC LOAD Fl RE SPF> cEr-..SL,s TRAc1 I (_;P t.Af\io us1c I PARK1"Jc~ SPAcc. Rf-S uN1Ts I GRADIN: P
0
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0
1ssuEo I
, Y ':] , C y D r-. [J Not Valtd Unless M,1chine Cerr1f1ed 1\--,-------'------L-------,J~----c_J._,r----,---==----='---__J~----==----'='---'---,--_J._---,'----_[_--'-==--"'--'-----------------,--j
: QTY I PLUMBING PERMIT. ISSUE • ;50 :. QTY MECHANICAL PERMIT. ISSUE ::; -SUMMARY/ACCOUNT NUMBER
1t---·/.----·------~--~--./--..+---+------------~l---.,,,;_~--ll--~~,~~~--~~~~s~~-------I I 1----l-EA_C_H_f_l_X_T_U_R_f_l_R_A_P________ ---------I NS TALL FURN DUCTS UP TO 100 000 BTU BUILDING PE~M_IT ____ 0_0_1-s~o-_o_o_-0~8220
t FACH BUILlJING SE'NER OVER 100.000 BTU
I---I-------· ----------, +------ -j
I EACH VI/ATER HEATER AN!J ClR VENT ---1-----· B01LER·COMPRESSUR UP TO 3 HP __ _, __ -
-
SIGN PERMIT 00 1-81 0-00 -00 -8221 J__. _____ _ -L__ __ • ___ _
l----'---I--P0LAN_CH_f_CK_ 00 ;-81 0-00-00-8806 ----+----------
EACH GAS SYSTEM 1104 UUTl.fTS
E."\CH GAS SYS! E:M J OR i,,iQRE -+ I 1------+------- --------
.
I SOILER:COMPRESSOR 3 15 HP ---r METAL F RE Pl Acr
-~ 1..--+ --------------<--
-. _ _:_ __ TOTAL PLUMBING
__ 1 _ ELECTRICAL
MECHA\JICAL
001-810-00-00-8222
001-81 0-00-00-8223 /0~
I~ EACH INST Al ALTE:.R. REPAIR '/,'i\TEH PIPE ---j VENT ~AN SINGLE OUCT • I EACH VACUUM BREAKER MECH ~XHAUST HOOU O UCTS I 1---1-----
I 1---+-"-A T f __ R _s_o_r T_N_E_R_ . RELOCATION OF EA FURNACE·HEATER --------4---+--------
~ ,_.,_ _ _ccMOBILEHOME
MOBILEHOME PARK INSP
00 1-810-00-00-8224 ~-
001·810-00-00-8225 ----+--------~
------+--------
I <·--+-'-"_CH ~ ;,:;r 1'·1-1,\ \ ',S _lC_, __ _ i SOLA_R 001-810-00·00·8225 l------
I
I~ _T_U_l_A_l Pl.lJMBINC ---[
1 ""'~~~~~~~~~~~~~ba~~~~~~~~~~~~~~~~~~~~~daaa~~~~~~.1
I
I QTY.
I 1---/.-----------------+---'"----/.--+------------·-----+------->
STRONG MUJION 880·519-92-33
Fl~~ S_P_R_I N_K_LE_RS __ ·-_0~0~1~-8~1~0"0~0-"0~0·-"8~22e,7-+---------j
_1R·810-00_-_D0-8930
TOT i'.il MECHANICAL
ELECTRICAL PERMIT· ISSUE
i
-'{-'I QTY
"
SOLAR· ISSUE PUBLIC FACILITIES FEE
'---------· ---·,----------
I NEW COr-.JST EA AMP sv,n lJKR +---+-C_IJLIFCH1R::i
1 1 PH :i PH J I SHJRA.GL 1 Ar·JKS I 1---1-------·---------------------I--
I EXIST BLDG EA AMP SWT 8KR ROCK STORAGE' _____ E_cc_,_ci_la_s --: :~~~-~:;::,:P:H::~:::::::::~::::::_1 ___ P~H-_-_-_-_-_-_-_·~~----~+_-_-_-_-______ ~· __ _,_P~U_M_P__ ---------------+-------!l---"S~ac'."D.1egu_,1_0 __
' ··------------.l...-----'---SCHOOL FEE· DISTRICT ·---I--------· .-
Carlsbad
---·-f----
11_ ~_E_M_O_~El __ A!_T_t_R __ P~R CIRCUIT ---11----~'lLCK FFE' ___ ·----· _____ San M_ac_c_os __ ---· .----,f----------·
I TE.\'1PP()lE 200AMPS
I l---l---------------------.,...-------1~--+--------------
I l---+-O_V_E_R_20_U_A_M_P_S ____ -------1----'--,l,.---f------------------1-----'---ll---~CE_N_S_E_T A_X __ .
1 TEMP OCCUPANCY 1JO DAYSI
1 &i) 4 7? 0 ttf1y -,., ~--~ .!, I CREDIT DEPOSIT
-001-810·00-00-8162
MFF -,-,0--s-,9.9'~2~.5~1 +--------
-''---··--------··--------
:
1
lil!Al ~L!:.I.TR1r:AP·· /--"'=~-..... ~:
1
ro1r,1 so'AFI I /o rr".-..,. TOTAL FEES PAYABLE ___.
,,-~~~~~~~~~~~~~~-"...;;.~--~-'-~---~~,....~~~~~~~~~....1~~~~..11.~~~~ ...... ~~~~~~.i..~...1o .... ~~~~~..i..-.
l J HAVE CARE FULL y EXAMINED THE COMPLETED "APPLICATION AND PERMIT'' AND DO HEREBY El!ptration. Every petm1.t issuedbythe8u1tding Off1c1a! undertheprov1s1onsofthis * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
I CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE C~e sha~I ixp1re by hm,tat1on and become null and void If the bu1ld1ng or work 5· o·· DEEP A.NO DEMOLfflON OR CONSTRUCTK>N OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS au on.i:e y such permit is no! commenced within 180 days from the date of such STRUCTURES OVER 3 STORIES IN HEtGHT 1
!SSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON· L~~~b~;m~n:::O~· ":°"":''~':~'~··:"n~: .. =·",f",;,:1:c'J'='."~";:h;,0,;,~C'C:.,~:,h,:,~,',:.,",.,~.: •• ,.'",,~e~"'~~e,,'/;,',,,,~de'.,~ci'.,¥,~,"",·"··~,1.__
0_';::-'1"~~~::,:0:"::'."'"-----:='."'"-----~~'."'"-----~ I STRUCT!ON. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND :::;;A~ ~)NATAUR; i OWNEii'f'--CONTRACTOR O Y~ ;D :y _,V ~\
1
°::__? ~ ~
1 EXPENSES WHICH MAY 1N ANY wAY ACCRUE AGAINST sA1D c1TY 1N coNsEouENCE oF THE g~e"..K , J l LN _,, ( av PHONE O ,. ~ ':'-"'---( /L,I~~
1
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'.L..G•R•A•N•T•IN•G-O•F•T•H•l•S•P•E•R•M•l•T-------------------------..i.;c;~,;_,Ll~ ... Jr..:l.,/.~c:,,,-;:i::,o..::;._ _____________ .Jc>"j(;(:_':'.__::'-J..:c. _ _:::~/~v,j-.~--_j!_'.:...~:_:-~_:=_J
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TYPE I DATE INSPECTOR '
BUILDING I
FOUNDATION I
REINFORCED STEEL I
I
MASONRY I
GUNITE OR GROUT I
SUB FRAME D FLOOR D CEl~ING
SHEATHING D ROOF D SHEAR
FRAME '
EXTERIOR LATH ' ' INSULATION I
INTERIOR LATH & DRYWALL ' I
PLUMBING I
~ SEWER AND BL/CO -Pli-lCO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WATER
' ELECTRICAL I
=:J ELECTRIC UNDERGROUND D>UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPC)RARY
D BONDING D POOL I
' I
MECHANICAL I
'
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS ' I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPEC
1
~~N WHEN ALL APPtOPRIATE
ITEMS ABOVE HA E BEEN APPROVED.·
FINAL I .
PLUMBING I ' . ii JW
ELECTRICAL ' I i, (' ' I
MECHANICAL ' ' \../". / .
GAS I \, t \"
' BUILDING '
SPECIAL CONDITIONS I
I
'
~----------------------------------------------------------------------
55S--7C/~ ~----------------------------------·--=..c=---'--'-=-------------j
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF f INSPECTOR s
CHECKED! APPROVAL
INSPECTOR'S NOTES
DATE
~~~·-~~=al
I 1----------------------------=---1
POST ~Er,,.:·.1c.'..iEC-:· I ~
CONCRETE I 1--F-,E-LD_W_E .. LD--,N-,-,---~ -----t-·----------1------------------------------II
~,-RE",-" ----r----+------------j 1
BDl TS ----t--I
~PE, ,\~ ~·~Jr'<.~~----1 [___ --1
------------1------+------l----j 1-------------------------------+
i--------------------------------j
.
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.
I-L-__ -_----_--_---_-+1_-_-_-::_-_-j1-'-==----j_~ _ _; -~ I
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