The URL can be used to link to this page

Home My WebLink About2777 ROOSEVELT ST; ; CB881635; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-18-2005 Building Permit Permit No:CB881635 Building Inspection Request Line (760) 602-2725 Job Address: Penni t Type : Parcel No: Valuation: OccGroup: 2777 ROOSEVELT ST CTI 2031810900 CBAD Sub Type: Lot#: $10,000.00 Const Type: Reference#: Project Title: T.I. BAR/2 DRESSING ROOMS NEW Applicant: Owner: Status: Applied: Entered By: Appr /Issued: Inspect Area: HENNESSEY, PAUL HOWARD-JONES ARTHUR T TR 2777 ROOSEVELT ST CARLSBAD, CA 92008 213-540-2274 Total Fees: $0.00 $607.00 Payments To Date: $607.00 FINAL 12/08/1988 DC 12/08/1988 Balance Due: Description Fee * ELECTRICAL TOTAL ($10 * PLUMBING TOTAL Building Penni t License Tax Plan Check Strong Motion Fee Inspector: FINAL APPROVAL Date: Clearance: 25.00 37.00 117. 00 350.00 76.00 2.00 NOTICE: Please take NOTICE that approval of your project includes the ~Imposition~ of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020{a), and file the protest and any other required information with the City Manager for processing in accordance with Ca~sbad Municipal Code Section 3.32.030: Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specttied fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have orevlouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. CII z 0 ;:: C rr C ~ u w Q II: I[ 0 u II: .., Q ~ 5 I "' z ! z 0 ;:: ~ z "' ... 2 0 0 "' ii: "' "' II: 0 3 il 0 I ll«eby affirm lhat I am licensed under pro,,l1lon1 of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prol"elona Code, and my license Is In lull force and effect. I hereby a1hrm 11\al I am exempl from the Conlrac· 101 s License Law tor !he fOilowmg reason (Sec 7031 5 Business and Professions Code Any c,ty or county wn,cli re· quires a pe:rm11 10 cons1ruct. alter, ,mprove. demolish or repair any structure. pnor 10 ils issuance atso requires the ap• phcant !Of sucn oerm1t 10 hie a StQned siatemenl that he 1s hcenSe<:I pursuant to the provisions of lhe Conuacto,-s ltcense Law ( CNpler 9 commencing w11n Seclloo 7000 of Division 3 of !he Business and Protesst00s COde) or Iha! 1s ex· empl lrterefrom and lhe basts !or lhe allegeo t)(emplt00 Any viola hon of Seclton 7031 . 5 by an apphcant tor a per mt I sub· 1ec1s the apphcant 10 a c1vt1 penalty ot not more than live nun· dred dollars ($~) ~ I I I I I I I I I , I as owner of me P<OOtrly. 01' my emptoyees with wages as their soie compens.ahon. wtll do the v.ork and lhe struc· ture 1s not mlended 01' ottered tor sale (Sec 7044 Business and Professions. Code The Conuac1or·s License Law dots noi apply 10 an owner ot property who builds or improves thereon and who dOes such WOfk r,,msell or lhrough hls own employees, provided that such 1mprovements are not mlend· ed or offered tor sale II. however. lhe bwldmg or improve· ment 1s sold within one year of comp!ettOn. the owner-builder will have the burden ol pr<Mng ll'lal tie did not build or 1m· prove for the purpose of safe) ' I I I. as owner of the properly, am e1tCtus1vefy contractmg j with licensed contractors to cons1ruc1 lhe protett {Ste 704◄• J Business and Prolessions COde The Contractor's License •1 law does not apply to an owner ot property who bu1kls OJ 1m· proves thereon, and who cOl'ltracts tor each proiects w1th a contractor(s) hcense pursuant to the Contrac1or·s License Law) 11 As a homeowner I am 1mprovm9 my home, and the tot low ing cond11Jons ex,sl 1 The wOf'k Is being pe:rf0tmed pnor to sale 2 I have hved in my home tor 1welve months prlOf 10 compiehon of this wOfk 3 I have nol tla1med !his exemphon dunng the last three years 0 lamexemplunderSec ______ ,B&P.C. for this reason ------------- 0 I hereby affirm lhat I have a cert,t,cate of consent to i self.insure. or a cert1f1caIe ol Workers' Compensation In• surance. or a cer11hed copy thereof tSec 3800 Labor Code} POLICY NO. COMPANY ~ Copy ,s liled w1Ih the city 0 Cert1lled copy ls hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE jTh1s seclion need noI be completed 1f the permit Is lor one hundred dollars ($100) Of less) 0 t certify that in the perfotmance of the work for wh,ch this permit 1s issued. I shall not employ any person in any manner so as to become subject to the Wo,kers· Compen- sation Laws of California. NOTICE TO APPLICANT: It. after making this Certificate of Exemption. you should become subject to the Workers· Compensation provisions of the Laboe Code. you must torthwtth comply with such provisions or this permit shall be deemed revoked. 0 I hereby affirm that there is a construclton +ending agency for lhe performance of the work for which lh1s P9f· mlt Is issued (5ec. 3097. C1vtl Code) Lender's Name ____________ _ Lender's Address ___________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -· . ------- CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 JOB ADDRESS Qf"'\Co,<\~ J il-ST.RD. THOMAS BROS NO. 1D;~re?'e01 BUSINESS LICENSE # VALUATION PERMIT NUMBER G ~r1ci-, ID, ODO LOT I BLOCK I SUBOIVISION ~~~RP,.,gr ot:j CONTRACTOR ' . CONTRACTORS PHONE• ZONE CJ Dii, ~ rr :-r NArL\I ~ ~ ~, --~ -G 15 _ _;;~~~;7</ t"Jlt 'l l\~,f ---.. _ ·-~ CONTRACTOR'S ADDRESS STATE LICENSE NO. ---vu,1.11,1 \Nil.ll..DflUi so. WTAGE BldPmt 622-l O~~R;~ILIN~;;~:,~ j ~ 'CJ'\cl~~I DEStGIIIER DESIGNER'S Pt<ONE OE~1PT10Ntt WOf;\K ·=IVl/) , _ A I "a,., i,., .<" ..., J DESIGI\IER'S ADDRESS STATE LICENSE NO. ~. ·-. l vv ~ . ·-~ 1/L_,;j . &•11 .r> t"U->-0.-.. .. ~M~1 tJ ~~R.A,6£.-~ F/P FLA ELEV. ~rf)s DCC GP EDU f ~,~<'4'.; ... J/-vO NO ~ .... 11 CENSUS TRACT PARKING SPACE RE S UNITS I GRADING PERMIT ISSUED I REDEVELO~ ~.r>-TYPE OCC LOAD FIRE SPR AREA ~~OiT y D ND V " vO 1110 Nor V11lid Unlns M11chine Cerrifird MECHANICAL PERMIT· ISSI)~\\'\ tJ ,-0 QTY. QTY. ,I.. -SUMMARY/ACCOUNT NUMBER PLUMBING PERMIT • ISSUE ?.5t> /Qh~ ..... \IS. . i I EACH FIXTURE TRAP 1-, .r;,v INSTA LL FURN. DUCTS iJP TO 100.000 BTU .Ll '-,14" _,.,. c.\"-· -'"'BUILUIN\J ~tttMII uu 1·810·00·00·ouu r , ...... ~ I EACH BUILUING SEWER TE -.:o OVER 100,00~ _. .. ~~U'-... SIGN PERMIT 00)-810-00-00·8221 , I EACH WATER HEATER ANO OR VENT -,_t""t::) Bo1LER1coMPREssoR uP TO 3 .Y .... oVtl\"' PLAN CHECK 001-810·00·00·8891 ¥i_-, ./ I EACH GAS SYSTEM I ro 4 OUTLETS -, .r.r: BOILER/COMPRESSOR 3 ~ ""''"-TOTAL PLUMBING 001 ·810·00·00-8222 -~~ -METAL FIREPLACE _/ EACH GAS SYSTEM ~ OR MORE ELECTRICAL 001·810·00·00-8223 ~ EACH INSTAL . ALTER. REPAIR \\'ATER PIPE VENT FAN S1.bl6'[.E DUCT MECHANICAL 001·810·00·00·8224 - EACH VACUUM BREAKER MECH OOAUST HOoo,ouCTS MOBILEHOME 001 ·810·00·00·8225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001·810·00·00·8226 EACH ROOF DRAIN I INSIDE I DRYER VENT STRONG MOTION 880-519·92·33 -✓_......,- TOH,L MECHANICAL FIRE SPRINKLERS 001 ·810·00·00-8227 TOI AL PLUMBING ;,lo~Q".. PUBLIC FACILITIES FEE 320·810·00·00-8740 BRIDGE FEE 360-810·00·00·8740 QTY. ELECTRICAL PERMIT · ISSUE 6-CO QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA ) NEW CONST EA AMP SWl BKR CAR PORT TIF 312·810·00·00-8835 I PH 3 PH AWNING LA COSTA TIF 311·810·00·00·8835 EXIST BLOG EA AMPISWT BKR GARAGE FMF - 1 PH 3 PH LICENSE TAX 001 ·810·00·00·8162 -~ ..... "' REMODEL ALHR PE R CIRCUIT -zo .-MFF 880-519·92·57 ,. TEMP POLE 700 AMPS OVER 200 AMPS TEMP OCCUPANCY 130 DAYSI ~ - CREDIT DEPOSIT I(. ./1{__,., ___..r I TOTAL ELEURICAL -i,. .. C' TOTAi TOTAL FEES PAYABLE l ~i, -i-,-- I HAVE CAREFULLY' EXAMINED THE COMPLETED' APPLICATION AND PERMIT" AND D0 HEREBY E,ip,raticln E--,perm,1iuuec1t,ythe8ulldong0ff,c,atunoert11ep,o,,1s,onsoltht1 * AN OSHA P£AM:T IS REQUNO FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,ra lly llmttal,on and become null and VOid II the building Of _,k 5· O" DEEP ANO DEIIIIOUTION Oft CONSTAUCTlOH OF DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT I!, autllorlled lly IUCII permit ,a not commenced within t80claya from the date ol such ~TIIUC~ OVER 3 STONES IN HEIGHT permit. or If Ille "":::=K. or -au111orll8d t,y auch permit ,s ~ o, ~ ISSUED: TO COMPL y WITH ALL CITY COUNl y AND STATE LAWS GOVERNING BUILDING CON• al any -a , .,,. work .. commenced lo, a -IOCI ol UIII "- STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO A:~~ OWNER□ CONTRACTOR 0 APPAC~ ..... 13/o/Zki KEEP HARMLESS THE CITY OF CARlS8AD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO EXPENSES WHICH MAY JN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ./ __ ~ ~ -8YPHONE rJ J , 0 GRANTING OF THIS PERMIT 1 _, ----, a. Q) 0 0 Q) a. <I) C ~ .s:: ~ " TYPE ' DATE INSPECTOR ! BUILDING I ' FOUNDATION I I -.,.A, D~ REINFORCED STEEL I '._., ... r l.' 1 MASONRY ' I GUNITE OR GROUT I SUB FRAME □ FLOOR □ CEl~ING SHEATHING D ROOF □ S~EAR 11 FRAME I ll• f ·1''2 r\"l, EXTERIOR LATH I INSULATION I ,( '\ . I I ,('" ' ' INTERIOR LATH & DRYWALL I r \· ~-. I PLUMBING I □ SEWER AND BUCO □ PUCO UNDERGROUND D WASTE □;WATER I} TOP OUT D WASTE D WATER 1~-1 .'ra L'-.'f'- TUB AND SHOWER PAN I " GAS TEST ' 17..•f•t, , '-.f "-I □ WATER HEATER D SOLAR W'A TEA . I ELECTRICAL I D ELECTRIC UNDERGROUND 0 1 UFFER .. --ROUGH ELECTRIC I ~' J 111._ D ELECTRIC SERVICE D TEMPQRAR-Y ,· '("'-- D BONDING D POOL I .. . -I .,- MECHANICAL ' I D DUCT & PLEM., D REF. PIPING ' .. I HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I I I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA ~E BEEN APPROVED. FINAL I I PLUMBING I f '/\ ELECTRICAL I -D_, ~ MECHANICAL I (\. L I I GAS I ,1 r" \ BUILDING I ' .\ \' ~' SPECIAL CONDITIONS I '7 \\ I I -. (' ,Rggl VJ~ \. FIELD INSPECTION RECORD ,REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REQ. IF INSPECTORS DATE CHECKED APPROVAL . \ SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING . HIGH STRENGTH BOLTS .. ~ SPECIAL MASONRY . PILES CAISSONS .. ' ... --' ... - c ' . ~- I .. . . ~ , .. ' . . 1r'i1"!;L£!: ~-,( ~~23 r:,oe,ss ooor or 0:i ' ' ' I . ,. . I ., ' . \ ' . ~ ' ~-'. '· . ~ ' ·-----' , \ ",'f't ... FINAL BUILDING INSPECTION PLAN CHECK NUMBER: 881635 DATE: 2-22-89 PROJECT NAME: __ H_e_n_n_e_ss_e~y'--------------------------- ADDRESS: ____ 2_7c...7.:..:Jc.....:.R.:..:o:..:o..:s..:e..:.v..ce.:..:lt'------------------------- PROJECT NO.: ________ UNIT NUMBER: _______ PHASE NO.: _______ _ TYPE OF UNIT: ____ C:_O_M_\'_, _T_I _____ NUMBER OF UNITS: CONTACTPERSON·:__..:G:..:8:..:r~yc...-=L.:..:e:..:e:...__ _______________________ _ CONTACTTELEPHON"'----=·=~.:..:.:..:c... __ ___;7~2~9'---~6~9~51.:.._ _______________ _ bldg, engr, plan, watr, fire INSPECTED BY: _________ _ ~A;~ECTED: ,2,-~ ,;.--yJ APPROVED ✓ DISAPPROVED __ _ .,;.. INSPECTED BY: _________ _ INSPECTED BY: _________ _ DATE INSPECTED: DATE INSPECTED: APPROVED DISAPPROVED __ _ APPROVED DISAPPROVED __ _ COMMENTS:--------------------------------- Rev. 1188 WHITE: Suepenae BLUE: Water Dletrlct GREEN: Engineering CANARY: Utllltles INK: Planning GOLD: Fire -~---- FINAL BUILDING INSPECTION • PLAN CHECK NUMBER: 88163S DATE: 2-22-89 PROJECT NAME: ___ ~_-,_,_n_es_tl_o_y _________________________ _ ADDRESS: 2771 Roo ev It PROJECT NO.: ________ UNIT NUMBER: ________ PHASE NO.: _______ _ TYPE OF UNIT: ____ C_O_M_\_1_1_1 _____ NUMBER OF UNITS: CONTACT PERSON: ___ G_o_r_y_L.e_e ________________________ _ CONTACT TELEPHONE: ___ at:k,c _____ 7_2_9_-_6_9_5_1 ________________ _ I I I INSPECTED DATE BY: INSPECTED: ~ APPROVED DISAPPROVED INSPECTED a/...---DATE v BY: INSPECTED: APPROVED DISAPPROVED INSPECTED DATE BY: INSPECTED: APPROVED DISAPPROVED COMMENTS:---------------------------------- Rev. 1186 WHITE: Suspense BLUE: Water District GREEN: Engineering CANARY: Utilities PINK: Planning OLD: Fire FINAL BUILDING INSPECTION PLAN CHECK NUMBER: 881635 DATE: 2-22-89 PROJECT NAME: __ h_e_n_n_e_s_s_e-"-y _______________________ _ ADDRESS: ____ 2_7_7_J_R_o_o_s_e_v_e_lt ______________________ _ PROJECT NO.: _______ UNIT NUMBER: _______ PHASE NO.: ______ _ TYPE OF UNIT: ____ C_O_M_M __ 1_1 _____ NUMBER OF UNITS: CONTACT PERSON: __ G_a_ry~L_e_e _______________________ _ CONTACT TELEPHONE: ___ lak,c _____ 7_2_9_-_6_9_5_1 ________________ _ 1, ,, r, IJ , watr, r'i re INSPECTED ~~ BY:---------'~.........:=-'--=--- INSPECTED BY: _________ _ INSPECTED BY: _________ _ DATE FEB. 2 4 1989 INSPECTED: DATE INSPECTED: DATE INSPECTED: Costa Real Municipal Water Oistrief COMMENTS: Engineering Department (619) 438-3367 / APPROVED __ DISAPPROVED __ APPROVED __ DISAPPROVED __ APPROVED __ DISAPPROVED __ Rev. 1/86 WHITE: Suspense BLUE: Water Dlstrlc GREEN: Engineering CANARY: Utilities PINK: Planning GOLD: Fire FINAL BUILDING INSPECTION PLAN CHECK NUMBER: 88163S DATE: 2-22-89 PROJECT NAME: __ H_e_n_n_e_s_s_e.:,_y _________________________ _ ADDRESS: 2771 Roosevelt PROJECT NO.: ________ UNIT NUMBER: ________ PHASE NO.: TYPE OF UNIT: ____ C_O_M_M_T_I _____ NUMBER OF UNITS: CONTACTPERSON·~ __ C_a_r~y'--L_e_e _________________________ _ CONTACT TELEPHONE: ___ nk'x ______ 7_2 __ 9_-_6_9_5..:....t ________________ _ bldg, ngr, plan, watr, fin ~;•meo 4/4: INSPECTED BY: _________ _ INSPECTED BY: _________ _ DATE INSPECTED: DATE INSPECTED: DATE INSPECTED: APPROVED __ _ DISAPPROVED __ _ APPROVED __ _ DISAPPROVED __ _ APPROVED DISAPPROVED __ _ COMMENTS:---------------------------------- Rev. 1/86 WHITE: Suspense BLUE: Water Dlstrlc GREEN: Englneerln ANARY: Utllltles PINK: Planning GOLD: Fire Environmental Health Services 5201 Ruffin Rd., Suite C-0564 San Diego, CA 92123 (619) 565-5173 PLAN CORRECTION SHEET EST. NAME --'-"-'-'-------'---'~;;....:.;;.-'-=-- SITE ADDRESS ~'< ____ t('--,..,----"-~J :....,;te........::cL"--______ C ITV OFFICE USE ONLY Intake Date / -------Act. Code~--CT City/County Code ---' Route Code Fie 1 d PC St_a....,,.ffT-_J. ____ _ Pl an Check #E ____ __:..;..._,..; OWNER/BUILDER <.<i< 'j. P ,/ Z ~ PHONE ·../ :Jt,-,-, _ _.c....;c...;:__.a..,.;_;__;'-'-----..:.;._'-"---~=-------- M A I LING ADDRESS /' CITY ZIP -------------------------- GEN ER AL CONTRACTOR ---'-';=-'1;_;, .. _ ___..:...j_,1_-=-74...:.;K.==--------PHONE _ ____;.....,....;.....;._ ST ART DATE ~~~ (Mo/Yr) P /U CONTACT / rf t'-, h PHONE PLANS: IAPPROVIBAH~Pf'RO'IE-D "--fc;rcle One) ----------- , PLAN CHECKER "\'PQ f r L (I... 6 w'. k) (Signature Est. DATE 12/ Z9/fy . RE CHECK FEE REQUIRED: $ ___ _ Time ____ RECHECK APPOINTMENT DATE ____ _ \ DHS:EHS-886 (5/88) / I / / / / / / I County of San Diego Department of Health Serv ices 2560 ORION WAY CARLSBAD, CA 92008 Qtitp of CICarl.S'bab FIRE DEPARTMENT PAGE 1 OF -/- TELEPHONE (619) 931-2121 APPROVED I < DISAPPROVED PLAN CH ECK REPORT PLAN CHECK# .. ~ PROJECT _.........__'-'--'-'--=;_;;.;;;;c.........c __ -'-"-..,......;:.."--'-....:'--L..' / ADDRESS :J.. 7 7 7 R 06$;a"U~I ARCHITECT ') 1 ADDRESS / l 'f /1,1 I , "' PHONE / 2, \ ) )~ I V OWNER _______________ ADDRESS PHONE _____ _ OCCUPANCY } CONST. TOTAL SQ. FT. STORIES _____ _ □ SPRINKLERED &TENANT IMP. ___________________________ _ __ 1. __ 2. __ 3. __ 4_ --5. APPROVAL OF PLANS IS PREDICATED ON CONFORMING TO THE FOLLOWING CONDITIONS AND/OR MAKING THE FOLLOWING CORRECTIONS: PLANS, SPECIFICATIONS, AND PERMITS Provide one copy of: floor plan(s); site plan; sheets ____________________ _ Provide two site plans showing the location of all existing fire hydrants within 200 feet of the project. Provide specifications for the following: Permits are required for the installation of all fire protection systems (sprinklers, stand pipes, dry chemical, halon, CO2, alarms, hydrants). Plan must be approved by the fire department prior to installation. The business owner shall complete a building information letter and return it to the fire department. FIRE PROTECTION SYSTEMS AND EQUIPMENT __ 6. The following fire protection systems are required: '-..J 7. __ 8. ✓ __ 9. ~ 10. □ Automatic fire sprinklers (Design Criteria: _______________________ _ □ Dry Chemical, Halon, CO2 (Location: ________________________ _ □ Stand Pipes (Type: ---.......... ---.---,,...------------------------- □ Fire Alarm (Type/Location: ____________________________ _ Fire Extinguisher Requirements: r5" One 2A rated ABC extinguisher for each l ( '! extinguisher not to exceed 75 feet of travel. sq. ft. or portion thereof with a travel distance to the nearest □ An extinguisher with a minimum rating of ___ to be located: □Other: ___________________________________ _ Additional fire hydrant(s) shall be provided------------------------ EXITS Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort. A sign stating, " This door to remain unlocked during business hours" shall be placed above the main exit and doors t I I 1 1 , , ', , 1 L /11 1 ) t ~ o 1 , ( f1 r ~ L , ) 1 >, / 1-' I " > I EXIT signs (6" x ¾" letters) shall be placed over all required exits and directional signs located as necessary to clearly indicate the location of exit doors. GENERAL __ 12. Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and hazardous chemicals shall comply with Uniform Fire Code. __ 13. Building(s) not approved for high piled combustible stock. Storage in closely packed piles shall not exceed 15 feet in height, 12 feet on pallets or in racks and 6 feet for tires, plastics and some flammable liquids. If high stock pil- ing is to be done, comply with Uniform Fire Code, Article 81. __ 14. Additional Requirements. ------------------------------ __ 15. Comply with regulations on attached sheet(s). Date_...;/:__:_✓::_:_/_:/_.Lr~---- 1' / Report mailed to architect ___ Met with ___________ ,.:...._ __ _ __ Attach to Plans