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Home My WebLink About1970 SWALLOW LN | 1972 SWALLOW LN | 1974 SWALLOW LN | 1976 SWALLOW LN | 1978 SWALLOW LN; BLDG 3 | BLDG 3 | BLDG 3 | BLDG 3 | BLDG 3; 80-956-4; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license Is In lull force and ef- fect. OWNER-BUILDER DECLARATION 0 1 hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5.Business and Professions Code), Any clly or county which requires a permit to con- struct, alter, Improve, demolish, or repair any structure, prior to its Issuance also requires the applicant for such permit to Ille a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex• emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 1, 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 of• fered for sale (Sec. 7044, Business and Profes- sions 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 of- fered for sale. If, however, the building or Improve- ment is sold within one year of completion, the owner-bullder wilt have the burden of proving that he did not build or improve for the purpose of sale). '.JI, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license law does not ap• ply to an owner of property 1•ho builds or Im• proves thereon, and who contracts for such pro• jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec. B. & P.C. for this reasO'n ____________ _ Date Owner WORKER&~ COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-Insure, o, a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, labor Code). POLICY NO ___________ _ COMPANY ___________ _ □Copy Is filed with the city. □Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per- mit Is for one hundred dollars ($100) or less). 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. NOTICE TO APPLICANT: If, after making this Cer· tlflcate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. t'--Q_NSTRUCTION LENDING AGENCY .__t..there Is a construction len- CITY OF CARLSBAO-BUILOING OEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. PERMIT NUMBER }?j,f~,t 6/03/812759 NUMBER OF STORIES ·v Not V•lid Unless MKhin. c.rtifi«I BLOG so. fT. I BLOG USE occ. GP I ST AN OARD PLAN II Proo: TYPE CONST OCC. LOAD CHY.I PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT . EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU .,- EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER AND/DR VENT BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TD 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 DR MORE ltftttfRJCOMPAESSOR 18 38-HP EACH INSTAL., ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM VENT FAN SINGLE DUCT MECH EXHAUST -HOOD/DUCTS u~~ TOTAL PLUMBING CONTRACTOR ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH .25 3 PH EXIST BLDG EA AMP/SWT/BKR 1 PH .25 3 PH REMODEL/ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) TOTAL ELECTRICAL CONTRACTOR ·" 0 -i-7.r' . ..- AMT. - RELOCATION OF EA FURNACE/HEATER (/ ,:) CONTRACTOR TOTAL MECHANICAL 'Jq. - QTY. MOBILE HOME PERMIT AMT. AWNING PORCH SET-UP RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME I HAVE CAREFULLY EXAMINED THE COMPLETED '"APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT A ND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION , WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABI LITIES. JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF ,STRUCTURES OVER 3 STORIES IN HEIGHT OF THE GRANTING OF THIS PERMIT. PLAN CHECK TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILE HOME 1L-,.A ,...___ 220°!,4 BP • ~ ~ ~ LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is in full force and ef- fect. OWNER-BUILDER DECLARATION 0 1 hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5,Buslness and Professions Code), Any city or county which requires a permit to con- struct, alter, Improve, demolish, or repair any structure. prior to its issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that Is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 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 of- fered for sale (Sec. 7044, Business and Profes- sions 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 of- fered for sale. II, however, the building or Improve- ment 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). '.JI, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property ••ho builds or Im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec _____ B. & P.C. for this reason, ____________ _ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con• sent to self-Insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). • POLICY NO _________ .,_....,,.1--- COMPANY _________ --\c....,.._ □Copy is filed with the city. □Certified copy Is hereby furnished.~ ~ CERTIFICATE OF EXEMPTION M WORKERS' COMPENSATION INSU NCE (This section need not be completed I the Pdl\J.l mlt Is for one hundred dollars ($100) or less). , __ \ I certify that In the performance of the work for which this permll.l§ Issued, I shall not employ any person In any manner so as to become subject to the Workers· Compensation Laws of California. NOTICE TO APPLICANT: 11, after making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction len- C IT Y OF CARLSBAD-BUILDIN G D EPARTME NT APPLICAT ION & PERMIT BLOG SQ. FT, BLOG USE QTY. PLUMBING PERMIT EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND/DR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 0 R MORE EACH INSTAL., ALTER. REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM WATER SOFTNER TOTAL PLUMBING CONTRACTOR QTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH .25 3 PH EXIST BLDG EA AMP/SWT/BKR 1 PH .25 3 PH REMODEL/ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYSI TOTAL ELECTRICAL CONTRACTOR 1200 ELM AVE:NUE (714) 438-5525 occ. GP I STANDARD PLAN# AMT. QTY. MECHANICAL PERMIT INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3-15 HP BOILER/COMPRESSOR 16-30 HP VENT FAN SINGLE DUCT MECH EXHAUST -HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER iJC> TOTAL MECHANICAL CONTRACTOR AMT. QTY. MOBILE HOME PERMIT AWNING PORCH SET-UP RAMADA. CABANA FENCE OVER 6' TOTAL MOBILE HOME <M I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT. AND DO HEREBY CERTIFY THA T ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH A LL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. 1,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, AMT. APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. PERMIT NUMBER Yd -'?Sh -'I~ 6/03/81276~ . -. Not V•lid Unless Machin, C.rtifitld OCC. LOAD -'~ AMT. TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILE HOME CONTRACTOR□ IAPPll.DVED BY AC.ENT n RV PMnN~ n I -ll..A _. 172.83 I Bi:> ! ~ 5 i= ~ 0. V) ~ LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is in full force and ef- fect. OWNER-BUILDER DECLARATION CI hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5.Business and Professions Code), Any city or county which reQuires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to its issuance also reQuires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions ol the Contractor's license Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). L' 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 of- fered for sale (Sec. 7044, Business and Profes- sions 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 of- fered for sale. If, however, the building or improve- ment 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). ::::1, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property ·.•ho builds or im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's license Law). I am exempt under Sec. ______ , B. & P.C. for this reason, ____________ _ Date WORKERS' COMPENSATION DECL t hereby affirm that I have a certifica? sent to self-ins1o1re, or a certificate of WQr Compensation Insurance, or a certified thereof (Sec. 3800, Labor Code). · POLICY NO._____ ,.s;J ,~ COMPANY ~ ~ CCopy is filed with the city. L; Certified copy is hereby furnis -----'v CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANC (This section need not be completed if the ~r- mit is for one hundred dollars ($100) or less). 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. NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby af!irm.!~at th.ere is a co_~s.t~~cti~~._I!~- ' CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY la/,/\ .ll77?/ ~ 1200 .ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. _,_ I •w /~4(v l VU I .. :t~1"Zi--1 L%V-/J• AL ll I, J i'\_; .I jB / AQ.1811 ESS,l\ __.__' £:- IC )I " I I "_;ci~"'·L_ I I I I I I 82217} PERMIT NUMBER lJi&f/4-.,, /i.UJ, ~-/ ow,e,•se,o<e %i/l2)~/j. U'fl/J 133'.5-'-?73 frJ-t/5/;fl- pc:,··t'"'l1:_a'a-n l.<P {2d /,Q{L.,-f-ka 1 CONTRACTOR'S LOT I BLOCK I sueo1v1s10N I Ass!'ssor. PARCEL NO, !92:PZ??d::1.s ~ s':10c:2SY2 ~;~~) Ana I STATE LICENSE ("!/~,j /~j i (.J 7'-''-' ,I J..-, I I l I I I I I I I I ~;JY~p ~A;~ 151t?uJofl1.r/d6 $:iMi CENSUS y[A</ GP LANO USE ZONING UNITS I '"-172;TJ' l '""'" o, STO"<S Not Valid Unless Machine Cartified BLOG SQ. FT, BLDG USE occ, GP I STANDARD PLAN# I "&o ·-q JZ I"" CO<ST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP I II I INSTALL FURN. DUCTS UP TO 100.000 BTU EACH BUILDING SEWER I II I OVER 100,000 BTU EACH WATER HEATER AND/DR VENT I II I BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TD 4 OUTLETS I II I BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE I II I BOILER/COMPRESSOR 16-30 HP ~ Cl EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS ...) d9"7cf'h ~ WATER SOFTNER RELOCATION OF EA FURNACE/HEATER "5 .,,II I -~ ,( ~ I < • TOTAL MECHANICAL TOTAL PLUMBING CONTRACTOR CONTRACTOR QTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH .25 EXIST BLDG EA AMP/SWT/BKR 1 PH .25 REMODEL/ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY 130 DAYS) AL) -<lLl _p C 3 PH 3 PH AMT. QTY. MOBILE HOME PERMIT AWNING PORCH SET-UP RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME __:::]_ () cJ "-3 (._1,.) AMT. VBUILOINfi PERMIT .L _._ SIGN PERMIT 1 -1 , PLAN CHECK _/4,# ,Qo.Z<;;I ALL INCLUSIVE PERMll" TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILE HOME _A__ SOLAR -'-,,-, 'Z2JC>?1 c h1 A-.-/',1 .n , - MICO-FILM r. ) • J H'C!, 'h1, ----s_ I TOTAL ELECTRICAL CONTRACTOR ii I 7 ~ I 1 II /OTAL FEES PAYABLE ~~ I •A~ OSHA P 5'-~EEP, STRu' ( I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON lS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, COUNTY AND ST ATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS~ND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. PP SIG~URE• DV.ER~ ~O~~ o, / ~ ~iµfb -6¥ ~~c.__,,""-..._ ovfNER0 AGENT D CONTRACTOR □ BY PHONE n IAPPA "1E□ BY ... ~ _l _l _l _l I I I I I I ' I /,1 a. , /t 7ltor,.[4? I TJtJ,,i;IO I I · _l I I _l I I LJ _L .L1 I - I 1/71-,_ I I I I I . I .J I 1/rlJ-7±:P I . I • I IL. • 7 0 .:: :rl 0.. V, ~ +71 ''..3 -1u;21? / 7 -,_,,.,.,,,, t,..J... ~ i VALIDATION • City of Ca rlsbad APPLICATION FOR CERTIFICATE OF OCCUPANCY BUILDING DEPARTMENT 1200 ELM 438-5525 Address where Business will be conducted 1960-1978 Swallow Lane Bl dg #3 Building Permit No. 80-956-4 Name of Occupant Address of Home Office of Occupant if different from above Owner of Building various Type of Business un it condo Describe exact use of all portions of each building and lot Use Zone Planning Department nglneerlng Department Health Department Building Department White -Building Dept. oration Address living quarters ve. Beach Business Phone Home Office Phone Phone lication; that they are true and correct, and that t make this statement under penalty of perjury. In the City of Carlsbad, State of California Signature of Building Official FOR DEPARTMENTAL USE ONLY Type of Construction Disapproved By Disapproved By Disapproved By By By Yellow -Applicant Pink -Finance Gold -Fire Dept. <ttitp of <ttarl.ubab REQUEST FOR INSPECTION RECORD TIME:r/J;a ✓ __________ DATE: ~--;/-g INSPECTOR ~r";;"-;t;-"::;----,::;;::;;;;;;;::~-PERMIT NO. OWNER_--1'---:-':=-=:-=c----,IE::::--=----,--.,----:.---c,...,-----r--.,...--f------....,,....,-,---r-7-- ADDRESS_-+--+--'~-----=-~-----'----''-+--''----=--:._____,'---'"----"-------';ir......,,..;._ _ ___,'--__ _.__ REQUESTED BY--='---+---------- BUILDING 0 FOUNDATION D REINFORCING STEEL 0 MASONRY D GROUT· GUNITE 0 FLOOR AND CEILING SUB FRAME D SHEATHING O ROOF D SHEAR D FRAME ELECTRICAL 0 TEMPORARY SERVICE D UFFER GROUND D ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC D POOL BONDING ~ /q,✓ D ELECT~VICE ,// ~ I" D EXTERIOR LATH D INSULATION 0 INTERIOAY'l((H OR D FINALv-···· □FINAL~ qr.d PLUMBING 0 UNDERGROUND PLUMBING D SEWER AND PL/CO D TOP OUT PLUMBING D TUB OR SHOWER PAN D GAS TEST D WATER HEATER 0 SOLAR WAT':,!Y D FINAL/ D CONDITIONED AIR SYSTEMS D SOLAR HEAT 0 PATIO 0 POOL O SPA D SIGN D GRADING 0 DRIYEWif □Fl~ SPECIAL INSTRUCTIONS ___________________________ _ D Tuesday □ Wednesday D Thursday REQUEST FOR INSPECTION TIME-·---- INSPECTOR 1M:G?-PERMIT NO. ~o -'1%~ 3 DATE: [or-lo---Ffjt OWNER f'r'\.,P tJs.. ADDRESS ftt~o ~ l116 f?VJA-Uew L,N t · BUILDING ,. □ FOUNDATION □ REINFORCING STEEL □ MASONRY □ GROUT · GUNITE □ FLOOR AND CEILING FRAME · SHEATHING FRAME EXTERIOR LATH · 0 INSULATION □ INTERIOR LATH OR DRYWALL D FINAL PLUMBING □ UNDERGROUND PLUMBING 0 UNDERGROUND WATER M ROUGH PLUMBING b TOP OUT PLUMBING D SEWER AND PL/CO D TUB OR SHOWER PAN □ GAS TEST □ WATER HEATER D FINAL READY FOR INSPECTION: □MONDAY D A.M. D P.M. \ ELECTRICAL □ TEMPORARY SERVICE □ ELECTRIC UNDERGROUND ~ROUGH ELECTRIC /□-POOL BONDING 0 ELECTRIC SER_YICE □ CEILING HEAT D G.F.1. 0 SMOKE DETECTOR D FINAL LLANEOUS -/()~~NU AN~DUCTS □ COMBUSTION AIR , □ PATIO D SIGN D GRADING D DRIVEWAY □ CONDITIONED AIR SYSTEMS □ REFER PIPING D FINAL □TUESDAY ~WEDNESDAY D THURSDAY D FRIDAY SPECIAL INSTRUCTIONS _________________________ _ REQUESTED BY ____ ~_ac,E~--P-'-~-....... ot:-=-----E-l.-a..U-ff~'~)NE No. 45B CJ(os7 PERSON TAKI NG REPORT__..qf""J-if------- ---......--===...;:::::::;.;;::::::;;;::::;=~==~~~- (!) ~r'T ~ ~ Fu~ t,,.,,h1A-, ~. (i) ~Au Y~T ~ ~N VAIIT-$ 70 .de /It ~ '7'-<JJ,t,,-1.., ~'r~~ (),/Z ~~~~ /A/ CU/1:),H,..I{,. e,~~ w/~ ,' ,P~IG b#~ ® Fl/Le ,'X-t'4c:..6 C/fn'\,t~ ~ .,Z' ~ /" ~ ~ ~~-~ • . . ... REQUEST FOR INSPECTION INSPECTOR /11. etc..• PERMIT NO. BUILDING 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT -GUN I TE 0 FLOOR AND CEILING FRAME 0 SHEATHING D FRAME □ EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL D FINAL i'n'l'Wt't"tt'tffl1'11p;i'iLUM Bl NG □ UNDERGROUND WATER 0 ROUGH PLUMBING ~OP OUT PLUMBING /"□~WEA AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER □ FINAL ~!/ TIME:_~----- DA TE: __,-/-._._........,.(Li,_..__ __ ELECTRICAL □ TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND □ ROUGH ELECTRIC □ POOL BONDING □ ELECTRIC SERVICE D CEILING HEAT D G.F.1. □ SMOKE DETECTOR D FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO □ SIGN 0 GRADING D DRIVEWAY D CONDITIONED AIR SYSTEMS 0 REFER PIPING D FINAL READY FOR INSPECTION: ¼oNDAY D TUESDAY D WEDNESDAY D THURSDAY D FRIDAY /~.M. D P.M. SPECIAL INSTRUCTIONS __________________________ _ REQUEST SPECTION C . INSPECTOR---+--~-r-'~----PERMIT NO. BUILDING 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT -GUN I TE 0 FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME 0 EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL D FINAL PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER D FINAL ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT D G.F.1. 0 SMOKE DETECTOR □ FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO D SIGN 0 GRADING 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL READY FOR INSPECTION: □MONDAY ~WEDNESDAY □THURSDAY D FRIDA,r D A.M. ~ •. ----~ J "'¥p .M. )._/ ~"Al'-'V--V~41, -/" (\ /f[j- SPECIAL INSTRUCTIONS _____ ...,. ___ ___.,_..--___ __.L.......+-', ,----4,1.6""X,,._____._!_.9---'.J'---'-/ __ _ />/',Al,/J.-<.., J;;I' ~ if hrv ~ ~ ~K- REQUESTED BY __ q+--'-~----t, pc---=-· __ &...,LAe__,JJ;"""'3,.=~-" ___ PHONE NO. ~ 3 ry _ q ( s-; PERSON TAKING REPORT _______ _ TIME·-------REOUES~J)O~NSPECTION INSPECTOR c;::p.... ~ PERMIT NO.tie} ,.. j'.J OWNER __ ~~'-'------......,... .......... -~..._ ______________________ _ -3 !-D DATE: __.f:2_: ___ ef __ _ ADDRESS_+-/1'5:L __ ~=-------(~-,,~~ab~~~~---~~~----------- BUILDING 0 FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT -GUN I TE 0 FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME 0 EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL D FINAL PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER D FINAL READY FOR INSPECTION: D MONDA D A.M. ~ D P.M. ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT D G.F.1. SMOKE DETECTOR FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO 0 SIGN 0 GRADING D DRIVEWAY 0 CONDITIONED AIR SYSTEMS 0 REFER PIPING D FINAL D WEDNESDAY D THURSDAY D FRIDAY ~~~~- SPECIAL INSTRUCTIONS __________________________ _ REQUESTED BY _______________ PHONE NO ... 5tt-YYI/ PERSON TAKING REPORT ___ ~__,.'---", ___ _