0306-273 (BLCK)_
LICENSED CONTRACTOR DECLARATION BUILDING PERMIT PERMIT#
I hereby affirm under penalty of perjury that I am licensed under provisions of 'j:9thf�-a^r"
�Chapter 9 (commencing with Section 7000) of Division 3 of the Business and DATE R';/P�,;`O�d VALUATION LOT LOT TRACT ;?`c`b
04 W Professionals Code, and my License is in full force and effect.
O :n C) License # Lic. Class Exp. Date
LO r ! 4 t JOB SITE s'' ° ^ ^ APN E 1'
r- CWi LO 't2feI Ii. ` rfl�l.,� Js ��' ADDRESS M� 453 PJ.%t.E+�L�LE �.F%VTKO..
Z Date C;�; f��'!�� a Signature of Contractors �w�/ -a �`"r� OWNER CONTRACTOR / DESIGNER / EN (NEER
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m O d�, ter, AL IX,118 LLC F UT tc t'O. j'MUCTION
J U (DD OWNERCD -BUILDER DECLARATION 1111,1'6101.1wy I I 1#6 '73.960 WXY 1'.11, SUM,
H a I hereby affirm under penalty of perjury that I am exempt from the Contractor's t �� o`�TV1�'�TA �, A 92213' TRA1;1�;�)jy;
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
POOLS - SPAS
BLOCKWALL
APPROVALS
steel
Set Backs
1,2 e-1 -r
Electric Bond
Footings
_ p
Main Drain
Bond Beam
p
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Q
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)