HomeMy WebLinkAbout1017 IRIS CT; ; 76-5581; PermitMODEL MD,
BUILDING PERMIT APPUCATION r
Apo'icsr^T TO complete "timbered itJMces off
City of CARLSBAD, CALIFORNIA 92008 ^
Phone 729-1181 f^j^, n N.I y&'SsR'l
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NOTICE
SEPARATE PERMITS APE ntOUlMCD FOR ELECTfllCAL. PLUMfl
ING, MEATIHG. VENTI ^.ATING OA Al fl CONDITIONING
THf^ PEFfUIT BECOMES NULL AND VOID <F AORK OR COrvSIRUC
TlON AUTHORIZED 15 NOT COWMENCt D WITHIN 120 DA'S OR JF
CONSTEtuCTlDN OR ^DHK \% SUSPENDED OR ABANDONED FOR A
PERIOO Of IJD DAVS AT ANY TIME AfT£R WORK 13 COM
MENCEP
P HEOeaV CERTIFY IHAT i HftVC READ ANU F*<flMiMtD THIS
flPPLICATPON flhlD Kr^Oi« THE SAME TOSC llfLtEANDCDRRECT 4LL PROViSlOMS DF LAWS AND ORDINANCES SOVERNINi^ THIS tvPE OF WORH V»L[,L BI-" tUiVPHtD WUM WnETHf B SPECIFIED
HEREIN on NOT, THE aRaNtlNO OF A PtRMIT OOES NOT
POESU^'E TO GIVE AUTHORJIV TO VIOLATE OR fANCFL i Ht
PROVISIONS OF ANV OIHEH bl ATE OR LOCAL LA^V HEGULATING fON^TRUCTION OR THE PE OFIM ANCE OP CON5T R UCTION.
FLVJNJNt^ DEPT.
HEALTH DEPT
FiRt DEPT
SOIL REPORT
OTHEP (SBicMyl
LNGINEfcflJNr, OEPT
lA'ATin J3EPT,
5a. >i. Op*-
R«f*iv«d
WHIN MO>IWLY VALIDATED (IN THIS SPACE) THIS IS VOUR FCHMIT
CH- HrO CASH
ND( ItaqkiimJ
PLAfJ CHECK VALIDATION PERMIT VALIDATION CK-M.O CASH
TOTAL FEES %.
INSPECTOR
, ...un. raj HI ji.
INSPECTION RECORD
DATE REMARKS INSPECTOR 1
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
MECHANICAL PERMIT APPLICATION
aty of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only. Phone 729-1181 Permit No.
JOI ADDtt CSS
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• XOT NO. BLK , LttAI.
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9 £7}^ A r- -rnm ^. •- tiAil & • r c a . f DunuC CTATP I ir Uft P IT V I IT NTRACTOR MAIL ADDRESS
I'^'AROfITECT OR DESTGNEIt MAIL ADDRESS
STATE LIC. NO. CITY LIC. NO.
/vl J /
LICENSE NO.
,«AIL AODRESS LICENSE NO.
MAIL ADDRESS
USE OF BUILOING
1 8 Class of work: NEW •ADDITION • ALTERATION • REPAIR
9 Dascriba work: '4 ^ -r< -C.
Typeof Fuel: Oil • Nat. Gas • LPG. •
PERMIT FEES
SPECIAL CONDITIONS: No. Type of Equipment Fee
Air Cond. Units-H.P. Ea. $
Refrigeration Units—H.P. Ea.
Boilers-H.P. Ea.
Gas Fired A.C. Units-Tonnage Ea.
\ Forced Air Systems-B.T.U. >{(1^, ' >f'l M Ea. H APPLICATION ACCEPTCO BV; PLANS CHECKED BY APPROVED FOR ISSUANCE BY Gravity Systems-B.T.U. M Ea. APPLICATION ACCEPTCO BV; PLANS CHECKED BY APPROVED FOR ISSUANCE BY
Floor Furnaces—B.T.U. M
APPLICATION ACCEPTCO BV; PLANS CHECKED BY APPROVED FOR ISSUANCE BY
Wall Heaters.-B.T.U. M
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZEO IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOO OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Unit Hesters-B.T.U. M NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZEO IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOO OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Evaporative Coolers
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZEO IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOO OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Clothes Dryers
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZEO IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOO OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Ventilation Fan
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZEO IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOO OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Range Hood
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZEO IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOO OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Air Handling Unit- C.F.M.
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZEO IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOO OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Incinerator
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZEO IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOO OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. , / ,
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZEO IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOO OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZEO IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOO OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZEO IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOO OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZEO IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOO OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZEO IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOO OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
• ISNATURC «r CONTRACTOR OR AUTHORIZCD ASCNT (DATC)
fl»HATOIW or <»».««« (IF QWHM •«ll.9«m 10*T»>
• ISNATURC «r CONTRACTOR OR AUTHORIZCD ASCNT (DATC)
fl»HATOIW or <»».««« (IF QWHM •«ll.9«m 10*T»>
ISSUANCE FEE $
• ISNATURC «r CONTRACTOR OR AUTHORIZCD ASCNT (DATC)
fl»HATOIW or <»».««« (IF QWHM •«ll.9«m 10*T»> :'• TOTAL FEES •
rnVM PKOreWLY VALIPATBD m THIS SPACE) THtt It YOUW I^WMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPEaOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
t/5£ S/'ACf BELOW FOR NOTES, FOLLOW-UP, ETC.
PLUMBING PERMIT APPLICATION
aty of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 ?^fiifirii(F
JOB AOOR ESS
/d/7 c r
, LESAL I OESCR. Jo if iff0/i/Ai6^ -^f
MAtL ADDRESS
ESTATE LIC. NO. CITY LIC. wm.y CONTRACTOR .
3 \A/ Co0 ky
MAIL ADDRESS
ARCHITECT OR DESISNER MAIL AODRESS LICENSE NO.
MAIL AODRESS LICENSE NO.
COMPENSATION TNS. CARRIER
6 Z-^/^/ir/i fif/^T*^
MAIL ADDRESS
USE OF BUILOING
8 Classofwork: CfNEW •ADDITION • ALTERATION •REPAIR
8 Describe work: >5 ,. / . J J /],
PERMIT FEES
No. Type of Fixture or Item Fae
SPECIAL CONDITIONS: %• WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN) QO
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVEO FOR ISSUANCE BY LAUNDRY TRAY .
CLOTHES WASHER TU
WATER HEATER
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
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-
MENCED.
I- HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK VvriLL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
URINAL
DRINKING FOUNTAIN
FLOOR—SINK OR DRAIN
SCdf'SINK
GAS SYSTEMS; NO. OUTLETS So
WATER PIPINQ t> TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS.
CESSPOOL
SEPTIC TANK * PIT
ROOF DRAINS
SISNATURC OF CONTRACTOR OR AujpBRIZED ASENT
ISSUANCE FEE
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) TOTAL FEES 71
WHEW PROPEBLY VAUDATED UN THIS SPACE> THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
•"'.'..'.fi' • I 'I'll ".'J "ssii-r'. '."T^ "••'"•Ji"''*
Applicant to complete numbered spaces only.
ELECTRICAL PERMIT APPLICATION'
aty of CARLSBAD, CALIFORNIA 92008 -yC (//J-C,
Phone 729-1181 Permit No.
JOB ADDRESS
1017 Irim Court
,LEGAL
1DESCR.
LOT NO. BLK. TRACT , ,
spHmtietF 8111 miPW' "'° '
OWNER MAIL ADDRESS ZIP PHONE
2 StaaiKPd fmeitic of San Cittgo 7906 Convoy Court San CiAgo 92111 279*20*12
CONTRACTOR
3 Baikmr Eleetrlo*
MAIL ADDRESS PHONE STATE LIC. NO.
Xr». 2180 mK^mem Ave, moondido 7^-2001 161756
CITY Lie. NO.
15121
ARCHITECT OR DESIGNER
4
MAIL ADDRESS PHONE LICENSE NO.
ENGINEER
s
MAIL ADDRESS PHONE LICENSE NO.
COMPENSATION INS. CA|R1ER
6 On Fll« c>i
MAIL ADDRESS BRANCH
USE OF BUILDING (
8 Classofwork: (^NEW •ADDITION •ALTERATION •REPAIR
9 Describa work: ^ao&i & Flllllll VlrlXlg
SPECIAL CONDITIONS:
PERMIT FEES
SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
No. Each Fee
APPLICATION ACCEPTED BY; PLANS CHECKED BY APPROVED FOR ISSUANCE BY
DATE
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
IOC 25
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
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
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
OR BREAKER
REMODEL, ALTERATION, NO CHANGE
IN SERVICE, FOR EA. AMPERE OF
INCREASE
TEMP. SERVICE UP TO AND INCLUD-
ING 200 AMP.
TEMP. SERVICE OVER 200 AMP.
PER 100
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
ISSUANCE FEE SI 0)
SIGNATURE OF OWNER (IF OWNER BUILtJERT (pATE)
TOTAL FEES 23 0>
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
I
LOT ~='j ^ .-.'^T-m.^>r;'- f;...^,-
BUILDIMG
FOOTING
FOUNDAT lOIs^
M7\S0NRY
GUNITE OR GROUT
SHEATHING
FRA24E
INSULATION ON '
EXTERIOR LATH
INTERIOR LATH £• DRYWA
PLUMBING
SEV7ER AND PL/CO \wATEiR /
PLUMBING UNDERGROUND \ \\
COPPER
TOP OUT 7^>r^
TUB AND SHOWER
GAS TEST 7
ELECTRICAL
UNDERGROUND
ROUGH
Ul'JL) ^--^
CEILING HEAT
BONDING
MECHANICAL
DUCT '& PLEM, REF. PiPING