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Home My WebLink About2777 ROOSEVELT ST; MULTI-PERMIT FILE; CB090154; Permit• City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-28-2009 Electrical Permit Permit No: CB090154 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2777 ROOSEVELT ST CBAD ELEC Status: Parcel No 2031810900 Lot#: 0 Applied: ISSUED 01/28/2009 JMA 01/28/2009 01/28/2009 Reference #: PC#: Project Title: HENNESEY'S: REPAIR ELECTRICAL PANEL Applicant: HOWARD-JONES MARITAL TRUST 03-31-81 C/O CAROLYN WOERPEL 2785 ROOSEVELT ST CARLSBAD CA 92008 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: HOWARD-JONES MARITAL TRUST 03-31-81 C/O CAROLYN WOERPEL 2785 ROOSEVELT ST CARLSBAD CA 92008 $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $0.00 $20.00 Total Fees: $20.00 Total Payments To Date: $20.00 Balance Due: lnspecto . Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservation~. or other exactio~s hereafter collectively referred to as 'fees/exactions." You have 90 days from the date this pem,it was issued to protest imposition of these fees1exactions. If you protest them, you must follow the protest procedures set forth ln Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will b:fr any subsequent legal action to attack, review, set aside, void, or annul their imposition City of Carlsbad 1635 Faraday Ave .. Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Building Permit Application Est. Value Plan Ck. Deposit Date , 2--s-/ 0 SUITE#/SPACE#/UN!T# APN LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE acc. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) .-f'=o Do EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITION\NG FIRE SPRINKLERS YES □-# __ NO □ YES □ NOD YES □ NO □ CONTACT NAME (ff Different Fom Appl/cant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME ONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE UC.# CLASS ITV BUS. LIC.# (Sec. 7031.S Busint11 and Pr~f~11io111 Code: Any City, or .Counr,: which requires a permit )O co~struct, .alter1 impron, ~~molish or rtP.air. any structure,. prior 10 its i11uaflCe, al1c;i requim the ap_plicant for mh p_ermit to file ii 1ignd !lil,ttment that he is t.censed_11unuan110 1he provu1on1 of the Contractors Licen1e Law {Chapter 9, commending W1th Sewon 000 of Dms,on 3 of the Busme11 and Pro1m1on1 Code} or that he 11 exempt tllert from, and the basis for the allegtd txemp11on. Any violation of Section 7031.5 by any apphcant for a permit subjects the applican1 to a civil penalty of not mort than five hundred dollao {$500}). WORKERS' COMPENSiA'l'.10111 , Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and wll1 maintain a certificate of consent to sell-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance ol the work for which this permit is issued. D 1 have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. ______________________ Policy No. ______________ _ Expiration Date __________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for 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. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil tines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided tor ln Section 3706 of the Labor code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE DATE QWNER•lllUILDER DECLARATION I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does 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 intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale), □ I, as·owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section___ Business and Professions Code for !hrs reason 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement D Yes □ No 2. 1 (have/ have not) signed an application for a building permit for the proposed work 3. I have contracted with the following person (firm) lo provide the proposed construction (include name address I phone/ contractors' license number): o coordin te, supeivise and provide the major work (include name I address/ phone/ contractors' license number): e the work indicated (include name/ address/ phone/ type of work): Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Pre.c:l!:iy-Tanner Ha2ardous Substance Account Act? □ Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Js the facility to be constructed within 1,000 feet of the outer boundary of a school site? D Yes D No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ,g APPLICANT'S SIGNA DATE UNSCHEDULED BUILDING INSPECTION DATE / /J!/'[f/ INSPECTOR~~--~~--- PERMIT # fBOtB:i -. PLAN CHECK# ___ _ JOB ADDRESS f)777 Q()o~ ti DESCRJPTION _________________ _ ~~$~ CODE DESCRJPTION ACT COMMENTS ~ .\~Wt\ack·•c ~lDR \, tf-- ----··--·--·-·· \- ELECTRICAL PERMIT APPLICATION ~", ~ 123 .• , ·~• 1·"0 City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phone 7 29-1181 Permit No 7& · / Y / ~ ., JOB ADDRESS --7~ ..., "· --e.{ . .. ~ ,,,,,,. ,, ~~ . LOT NO. I BLK. I TRACT (QSEE ATTACHED SHEET) LEGAL I 1 DESCR, OWNER \~~•-#v' <..! MAIL ADDRESS ,r ~-P"~E 2 . . -"' a d--7¥J-; . . ~ coNtRACT01 t~le C. ~ \.-'- MAIL ADDRESS PHONE STATE LIC, NO. C ITV LIC. NO, 3 \,, ·-1 ',. J-·. ~.e, ' -~ . -""\. "\' -.J (,,. , ~ ,. _.t, I •· _;..L' ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 4 ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 COMPENSATION INS CARR IER MAIL ADDRESS BRANCH 6 USE OF BUILDING 7 8 Class of work: □NEW 0 ADDITION ~LTERATION 0 REPAIR 9 Describe work: - J~\I\ (a (( ~ <frt~t~ +o l ),A \ t ~l.,.-A-~ !l_ -, PERMIT FEES No. Each Fee SPECIAL CONDITIONS: SWIMMING POOL WIRING, NO INCREASE IN SERVICE NEW CONSTRUCTION, FOR EACH APPLICATION ACCEPTEO BY PLANS CHECKEO ev APPROVEO FOR ISSUANCE ev AMPERES OF MAIN SERVICE, SWITCH, / FUSE OR BREAKER ,.,,,,,, DATE NEW SERVICE ON EXISTING BLDG. NOTICE FOR EA. AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER ' TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM REMODEL, ALTERATION. NO CHANGE MENCED. IN SERVICE, FOR EA. AMPERE OF I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCE:!> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. C\ JJ / /?_ ~ <~t TEMP. SERVICE OVER 200 AMP. PER 100 '. .... ., .---, SIGNATURE OF' CONTRACTOR OR AUTHORIZED AGENT (DATE) ISSUANCE FEE ,_ TOTAL FEES .,.. • !llGNATURE OF" OWNER IF OWNER BUI DER DATE WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT , PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR ---------- INSPECTION REPORTS .-..---------------~---------- DATE ITEM REMARKS INSPECTOR ------~ ----- --- - ---, - ----- - --~/?/: -~ ~~ ~ 6,-C:,-17-7(c; , / -----= ......, USE .)l"Au: tsELOW rvR NO, l:S, FOLLOW-UP, En. ' I J J ELECTRICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 7 29-1181 Permit No. JO■ ADO" tSS __ --.> . "\(j ( \. LOT NO, I ILK l TUCT Qst.E ATTACHED SHECT) LEGAL I 1 DUCII. ' OWN&llt J.J u 1AJ LAA t • MAIL AODIIUS >:s-r.d uSt\1 ZIP PHONE. 2 ._)~'"1. :r-... )/_ e:.- * > ~/tJ ~ CON TflAC T01' 1., t ct"v MAIL ADOJH.55 ~tft-:tn PHONE L ICENSE NO, STATE CITY 3 t, 'l(.. , ---- AIIICHITE.CT 0111 DlSIGNll't MAIL AODIIIESS PHONE LICENSE. NO, 4 ENGIN££" t,,4.AIL A0Dfl£.S5 PHONC LICtNS£ NO, ' 5 . COMPENSATION INS CARR' ER MAIL AODIIIESS B"-AHCM 6 US£ o, 8UILOING I 7 ")) 8 Class of work: 0 NEW 0 ADDITION [!JAL TE RATION 0 REPAIR ' 9 Describe work: lht t U~ \II"" ( l c• l Vl r., I ... , /lcf J \~l, ff~ 1-o ) .. .. - ,l f), 1,~ I({). , ,HL t"f }~·· , a u ' . PERMIT FEES ... No. Each Fee SPECIAL CONDITIONS: ISSUANCE OF EACH PERMIT ;t: DC NEW CONSTRUCTION, FOR EACH APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER OATE NEW SERVICE ON EXISTING BLDG. ' FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICE, SWITCH , FUSE THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-OR BREAKER TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAY~ AT ANY TIME AFTER WORK IS COM MENCEO. IN SERVICE, FOR EA. AMPERE OF I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCE~ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. f ~ t iL.11 cil tJ-,v TEMP. SERVICE OVER 200 AMP. PER 100 alGNATUlltE OP' COHTflACTOfl Ofl AUTHOflllll.O A.~I.NT CDATRJ PERMIT FEE <:r vu at&N.aT""• np ""WNCIIII If' OWNt" 9UIL0C:"J OATI. WHEN PROPERLY V~LIDATED IIN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR DATE 45 474 Redi7rm e Poly Pali ISO,..., 4P474 II) z 0 ~ ac < ... 0 "' 0 ,,. ____ e[ ~ a: ... z 8 a: .., 0 ... 5 I ... z 3 0 z 0 ;:: < II) z "' D. 2 0 0 II) a: "' "' a: 0 3 i[ O I hereby affirm that I am licensed under provisions of Chapter 9 (commencing wllh S.Ctlon 7000) of Division 3 of the Business and Prolffslons Code, and my license Is In lull force and effect. Uc No------Class ------ I hereby aftmn tMt I am exempt from the Con· ~~~·~;;~,::: ~w ~f~~1~ 1~c2~9t~,\~; county which requires a permit to construe, aite,, improve, demohsh. or repatr any structure, pnor to its issuance also requires the apphcant for such penmt to file a signed statement that he 1s hcensed pursuant to the provisions of the Con· tractOf''s License Law (Ctiapter 9 commencing wllh Sect10n 7COO of 01v1s1on 3 of the Business and Pro- fess,ons Code) or thlt ,s exempt therefrom and the basts for the alleged exemphon Any v1olat1on of SectlOO 7031 5 by ¥1 apphcant lo, a pem,,t sut>teets tne apphcant to a c1v1I penalty of not more than five hundred dollars ($500) □ I, as owner of the property, or my employees ..,1h wages as their sole compensahon, wm do the wo,t,., and the structure 1s not intended or ottered for sale (Sec 7044, Business and Professions Code: The Contractor's License Law does-not appty to an owner or p,openy who bt.11lds or improves thereon and who does such wOtk h1mse1' or th,ough tus own employees. provKSed that such improveme;its are not ,ntende-1 or ortered lo, saJe If, however the building or improvement ,s sold w1th1n one year of completion. the owner-bt.ulder will have the burden ot prOYtnQ that he dtd not build or improve to, the purpose ol sole) -□ I, as owner ot the property, am exclusively contractm9 with hcensed contracto,s to construct the project (Sec 7044. Business and Ptofess.ons Code: The Contractor·s License Law does not apply to an owner of property who builds or improves ~:'~t6'1~ 7i~n~~~!~~ ~~~h~,~~~.:::.: License Law) □ 1 am exempt under Sec ,B &PC tor this reason __ _ D I hereby athrm that I have a certificate of consent to self-insure, or a cer11t1cate of Workers' Compensation Insurance, or a cer1,t1ed copy thereof (Sec 3800. La~r Cod ) POUCYNO __ COMPANY _ D Copy 1s hied with the city D Certified capy 1s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 1f the permit ,s fOf one hundred dollars ($100) Of less) 0 I certify that in the performance of the wOfk f0t which this permit ,s issued. I shall nol employ any person 1n any manner so as to become sub1e<:t to lhe Wortc.ers· Compensation Uws ot Ca11foro1a NOTICE TO APPLICANT If, after makIn1 this Cert• ftcate ot Exemphon. you should become subIecI I? the W()t'11;ers· Compensa1,on pro-.,IsIons of the Labor Code. you must fonhw1th compty with such provIs1ons or Ih1s permit shall be deemed revoked O I hereby affirm !hat there 1s a consIrucI,on Iend1ng agency to, the perlOfmance ol the wont. for which tr-us pe,m11 •s issued (Sec 3097 C1v11 Codel Lenoer s Name ___________ _ Leoder·s Address __________ _ U!>t IIALL l'UINI l'tN UNLT & l'Kt!>~ NAKU ~ . -·-····. r ·---·-··-· -. - CARLSBA~ BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, Callfornla 92008 (714) 438-5525 ' JOB A:;R7 / J A~i_T. 1 DAr ~~f;p~:r;IONI BUSINESS LICENSE # VALUATION PERMIT NUMBER ~ J-3,, 3 ~}i, OWNER'S NAME I OWNER'S PHONE PRl~OR CONTRACTORS PHONE• ZONE ~ /'./ _/, -a.,..__~• ?;..J.-3t?Y -. --. OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS ;1:110 PLAN 1,0. # BLOG USE CODE LOT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESIGNER STATE LICENSE" STANDARD PLAN# BUILDING SO. FOOTAGE DESCRIPTION OF WORK__,(),, f), , DESIGNER'S ADDRESS 0ESIGNER"S PHONE 9/:3U/B197b"1 i~,'}J ·~ ~ ~ 000 19765 9/3U/ B I I ,:,.d, . '-------F/P F LR ELEV. NO OCC GP EDU STORIES vO NO CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS l GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPR AREA CONST YO N 0 vO NO YO NO Not Valid Un~s Machine ~rtifi«J QTY. PLUMBING PERMIT -ISSUE ?.,~{') QTY. MECHANICAL PERMIT -ISSUE ~-('),n SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU ./ BUILOING PERMIT EACH BUILDING SEWER OVER 100,000 BTU ./ ... SIGN PERMIT - EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP ./" PLAN CHECK EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP ./ TOTAL PLUMBING EACH GAS SYSTEM 5 OR MORE METAL l'IREPLACE _/ ELECTRICAL / '} _,_..._, EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SING~UCT MECHANICAL EACH VACUUM BREAKER MECH EX¢5T -HOOD/DUCTS MOBILEHOME WATER S0FTNER REl,JH!'ATI0N OF EA FURNACE/HEATER MOBILEHOME PARK INSP EACH ROOF DRAIN (INSIDE) (\ .J' 17 SOLAR V TOTliL MECHANICAL STRONG MOTION -----i ./ TOTAL PLUMBING FIRE SPRINKLERS lssuE )(%-a~ ' PUBLIC FACILITIES FEE QTY. ELECTRICAL PERMIT -QTY. S3/R -ISSUE I I'\ BRIDGE FEE NEW CONST EA AMP/SWT1BKR/ I F7 I lol ~s SCHOOL FEE · DISTRICT l PH --<' 3 PH !,,,./.7 ~-l & ~ 'r/-~,1,E TANKS Carlsbad EXIST BLOG EA AMP/SWT/BKR/ i./ • r 'I . ' .11 till STORAGE Encinitas l PH pPH \ V -I 'I/ 1 PUMP San Dieguilo REMODEL/ALTER PE¢'™LI_T. ./ I PLAN CHECK FEE San Marcos TEMP PO LE 200¢s ./. , OVER 200 AMi< TE~P o.te{JPA~ !YAN /() .o,:, l I TOTAL ELECTRICAL 1-I~ TOTAL SOLAR TOTAL FEES PAYABLE I / J.. {J--() I I - I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration Every permit issued by the Bu1td1ng Otfk1al under the provisions ofth1s * AN OSHA PERMIT IS AE0U1AED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limttation and become null and void If the building or work 5' O" DEEP ANO DEMOLITION OR CONSTRUCTION Of DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit ,snot commenced within 180 days from the date of such STRUCTUfl(S OYER 3 STORIES IN HEIGHT permit. or 1f the buildtnft or work authorized byl such permit Is suspended or ISSUED TO COMPLY WITH ALL CITY, COUNT" AND STATE LAWS GOVERNING BUILDING CON-abandoned 11 a"v lime a er the work IS commenced for I nanod of 180 dav• '\ CONTRArT~n h DATE .!!1 u:: >-~ 0 a. E a, I- I "Cl 0 (!J I •i •• 2 a. a. <( I "" C a: 0 rJ) rJ) a, rJ) rJ) <( I :,: .2 «i >- u, rJ) a, 0 0 a: «I iii 0 §: a, 0 C «I C u:: C a, a, (5 0 0 a, a. rJ) C ~ .c ~ STRUCTION, WHETHER SPECIFIED HEREIN OR NOT, I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT"S SIGNATURE 1/ ~ 0 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS A_'JD ~/4 _ / / J WNER EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ // GRANTING OF THIS PERMIT. -, _ ~ ~ • ./ _ BY PHONE(□ APPROVED BY ~ • 1 f-.Jo i'J ~ INSPECTTON TYPE DATE INSPECTOR , BUILDING -FOUNDATION .. REINFORCED STEEL --- MASONRY I GUNITE OR GROUT ' .. FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH lNSULATION I INTERIOR LATH & DRYWALL I PLUMBING I I SEWER AND BL/CO -' PLUMBING UNDERGROUND : ' PLUMBING TOP OUT I I TUB AND ~HOWER PAN I ' GAS TEST I ELECTRICAL I TEMPORARY POWER I I ELECTRIC UNDERGROUND \ ROUGH ELECTRIC I ELECTRIC SERVICE I I BONDING A I G. F. I. -SMOKE DETECTOR. MECHANICAL . I I DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING I ELECTRICAL MECHANICAL ·- GAS I BUILDING . SPECIAL CONDITIONS CERT OF ocr• I_.F> ANCY ISSUED J --.. . -!"!- "" ----· - FIELD INSPECT ION RECORD ' \ REQUIRED SPECIAL INSPECTIONS INSPEC TOR'S NOTES - INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL ---- SOILS COMPLIANCE PRIOR TO FOUNDATION INSP ' STRUCTURAL CONCRETE OVER 2000 PSI I • PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS -SPECIAL MASONRY ' I PILES CAISSONS ~ I' .r .. , . . r • ' : .. ,___ .. ~ .., , ., . ' -~ . - fl \ -'