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j c1BU DNGUDPERoNNO P SIT CONTRACTOR INFORMATION: �
n � i
rERMIT N
' 8 � BUILDING ADDRESS: �
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OWNER'S NAME: APP DATE
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ONE: `_ SANIT Y NO. - CONTROL NO.
Jd.3 en
'ARCHITECT/ENGINEERar h S 14F ONE# BUILDING PERMIT INFO
!! ,7 lr LI UM13 NI Fp'IjI
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u � INSPECTIONS DATE INSPEC. ARRANGE INSPECTION JOB DESCRIPTION
F z CALL 777-3228 MONDAY-FRIDAY 24 HOURS RESIDENTIAL_
" ¢v° BEFORE REQUIRED INSPECTION.JOB ADDRESS ❑ SFDWL ❑ KITCHEN RI',
F-y z FOUNDATION/PIERS/H.D.S. .'.
o z o AND PERMIT#ARE NEEDED WHEN PHONING. ❑ ADDITION ❑PLUMBING RF
UFER GROUND _
a El MULTI-UNIT L1 STRUCTURAL
s¢; PAD/SET BACK-CERT iL _. RESIDENTIAL—COMMERCIAL OTHER MODIFICATIC
w 3 N GARAGE SLABS/PREGUNITE HAZARDOUS FIRE AREA E) INTERIOR 11 CHIMNEY REF
F m< POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNER. IMPROVEMENT ❑ SWIMMING P,
i m} ❑ BATH REMO1�ELfRF,PAIR❑ DEMOLITION
p p UNDERGROUND/SLAB ❑ YES If ges-I understand dial a Class A roof assembly is required. ❑ OTHER i
❑ NO Initial LC.B.O.#_
Z
o ELECTRICAL
F- RCIAL:
COMME
a 3 m DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED EXISTING ROOF COVERING ❑ NEW RCIAL.BLDGIADDITION ❑ DEMOLITION
PLUMBING �I
' 'j� ❑ TENANT ❑ FOOD SERVII_
MECHANICAL Numher of existing coverings
,.I � IMPROVEMENT
ELECTRICAL To be removed To he retained ❑ OTHER
i
FRAMING VENTS irl
INSULATION I =
:'•� PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED TYPE OF ROOF COVERING
ROOF SHEATHlDIAPHR,4�4 t EXISTING: PROPOSED:
PLUMBING ❑ Built-Up Roof ❑ Built-Up Roof
TUBS&SHOWER PAN / ❑ Asphalt Shingles ❑ Asphalt Shingles
,r ❑ Wood Shakes ❑ Wood Shakes
MECHANICAL
ELECTRICAVPOOL BOND ❑ Wood Shingles ❑ Wood Shingles
FRAMING/STAIRS/E.EGRESS Other(Specify) ❑ Other(Specify)
INSULATION/VENTILATION - Provide LC.B.O.Report No.
COVER NO WORK UNTIL ABOVE HAS B EN SI Provide Mfg.Installation Specs.
EXTERIAL SHEAR/HOLD DOWN
? INTERIOR SHEAR/HOLD DOWN a,j-CJf
SHEETROCK/SHEETROCK SHEAR + INSPECTION SPECIAL INSPECTION REQUIRED ❑ DATE I
EXTERIOR LATHIW-SCREED
i SHOWER LATH .L�/f✓ S /� /f / - ZZ&V-4P
NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED
SCRATCH COAT —
SEWER/WATER
TEMPORARY APPROVALS
p OCCUPANCY
FINALS
;d z PLANNING 777-3308
`j z O+ GAS TEST
GRADE(P.W.777-3354)
J a FIRE
a A HANDICAP
az
U O. ELECTRICAL
FPLUMBING
MECHANICAL
? F" ENERGY
U Z VISUAL FINAL ONLY
BUILDING
OCCUPANCY OF BUILDING IS NOT PERMITTED
UNTIL BUILDING FINAL IS SIGNED BY BUILDING
;.� INSPECTOR. CERTIFICATE OF OCCUPANCY❑
f • �
PRE-INSPECTION: PLYWOOD: IN-PROGRESS
-1 INSP. DATE_ INSP.- DATE _ INSP. DATE
TEAR OFF INSPECTION: BATTENS: FINAL:
111 INSP^ DATE INSP.__ DATE INSP. DATE
NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION