HomeMy WebLinkAbout1029 IRIS CT; ; 76-5583; Permit- C^ S'lO c^R.
MODEL NO.
Applicant to complete numbered spaces only.
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Perm t NO/^
JOB ADD"ESS ADD" E5& ^ Jt f: ASSESSOR'S
PARCEL NUMBER
298 T>»39 ([^SEE ATTACHED SHEET)
MAIL ADDRESS
CON TRAC TOR MAIL ADDRESS STATE LIC. NO. CITY Lie, NO.
ARCHITECT OR DESIGNER 4 wam mm, mo mtm mm orj stVEA juk 9mx i^5-ofiii( LICENSE NO.
ENGINEER MAIL ADDRESS LICENSE NO.
.^AIL ADDRESS COMPENSATION INS. CARRIER
6 CIS fuwviuK (xnouetsaii, uoa MUBMB
USE or BUILDING
7 snsKX wmuat HKOUIG NO. BDRMS_
3«r %
8 Classofwork; LXNEW •ADDITION •ALTERATION •REPAIR •MOVE • REMOVE
9 Describe work: 8XIQ£I HHIXZ MKUIO HCS kTSMSOm QUtAUB
10 Change of use from
Change of use to
11 Valuation of work: $ 7 V:
SPECIAL CONDITIONS;
PLAN CHECK FEE S
Type of
Const. IMi
PERMIT FEE $
Occupancy T—Jf
Group
MICRO Fl LM FEE
Size of Bldg.
(Total) Sq. Ft. 231S No. of
Stories
Max.
Occ. Load
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
Fire
Zone
Use
Zone
Fire Sprinklers jp
Required •ves UNo
No. of
Dwelling Units
OFFSTREET PARKIN
No. 2
Covered Sa. Ft.
PACES:
INo.
Open
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
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 DOES 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.
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
V k..
SISNATURE OF CONTRACTOI^ OR AUTHORIZEO ASENT
SISNATURE OF OWNER (IF OWNER BUILDER) (DATEI
Required Received Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $.
INSPECTOR
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 9200a
Applicant to complete numbered spaces only. PhOPC 729-1181 Perm
JOB ADDR ESS
icy I Ot
,LEGAL
IDCSCR. ssu. I (QSEE ATTACHED SHEETJ
fcDDR|^S
CONTRACTOR MAIL ADDRESS STATE Lie. NO. CITY LIC. NO.
^ARCHITECT Oft DESIGNER MAIL ADDRESS ^ PHONE
.yifSS.X /j 7:iZ
LICENSE NO.
MAIL ADDRESS LICENSE NO.
^AIL ADDRESS
USE OP BUILDING
8 Classofwork: OjilEW •ADDITION •ALTERATION •REPAIR
f«,
9 Describe work:
Type of 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.
1 Forced Air Systems-B.T.U. i <_ / •• M Ea. Y
/•.^
-.J
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Gravity Systems-B.T.U. M Ea. APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
Floor Furnaces-B.T.U. M
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
Wall Heater&-B.T.U. M
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 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 DOES 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.
1 II.A ) ^ S^ 5 i x^,.., )?
Unit He&ters-B.T.U. M NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 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 DOES 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.
1 II.A ) ^ S^ 5 i x^,.., )?
Evaporative Coolers
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 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 DOES 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.
1 II.A ) ^ S^ 5 i x^,.., )?
Clothes Dryers
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 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 DOES 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.
1 II.A ) ^ S^ 5 i x^,.., )?
Ventliation Fan
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 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 DOES 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.
1 II.A ) ^ S^ 5 i x^,.., )?
Range Hood
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 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 DOES 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.
1 II.A ) ^ S^ 5 i x^,.., )?
Air Handling Unit- C.F.M.
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 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 DOES 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.
1 II.A ) ^ S^ 5 i x^,.., )?
Incinerator
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 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 DOES 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.
1 II.A ) ^ S^ 5 i x^,.., )?
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 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 DOES 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.
1 II.A ) ^ S^ 5 i x^,.., )?
-< \/P A. L-:D
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 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 DOES 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.
1 II.A ) ^ S^ 5 i x^,.., )?
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 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 DOES 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.
1 II.A ) ^ S^ 5 i x^,.., )?
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 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 DOES 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.
1 II.A ) ^ S^ 5 i x^,.., )?
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 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 DOES 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.
1 II.A ) ^ S^ 5 i x^,.., )?
SIGNATtTire 6r CONTWACTOR OR AUTHORIZED ASENT (DATE)
SISNATURE or OWNIII (1 r OWNER (UILOIR) (DATE)
SIGNATtTire 6r CONTWACTOR OR AUTHORIZED ASENT (DATE)
SISNATURE or OWNIII (1 r OWNER (UILOIR) (DATE)
ISSUANCE FEE $ >-'
'•..
SIGNATtTire 6r CONTWACTOR OR AUTHORIZED ASENT (DATE)
SISNATURE or OWNIII (1 r OWNER (UILOIR) (DATE) TOTAL FEES $ A" WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181
JOB AOOR E$S
.IAI L ADDRESS
STATE LIC. NO. CTTYTTCTTJST
fliS/s /o^jdi
CONTRACTOR /
3 0 Co^f^Y
Ak.\\. ADDRESS
ARCHITECT OR DESIGNER ^Al L ADDRESS LICENSE NO.
.4AIL ADDRESS LICENSE NO.
COMPENSATION fNS. CARRIER
6 Zcfi^f fff fifA fi
MAIL APDRESS
USE OF BUILDING
8 Class of work: Q SNEW •ADDITION • ALTERATION • REPAIR
9 Describe work: ^
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS; WATER CLOSET (TOILET) do
t BATHTUB t /a
LAVATORY (WASH BASIN)
SHOWER /
i KITCHEN SINK & DISP. /
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY. LAUNDRV TRAY
f CLOTHES WASHER /
DATE WATER HEATER /
NOTICE URINAL
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
DRINKING FOUNTAIN 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 FLOOR—SINK OR DRAIN
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
/ srorsiNK fi^Z / i a PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
/ GAS SVSTEMS. NO. OUTLETS y
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER PIPING & TREATING EQUIP.
TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT WASTE INTERCEPTOR
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PHnvi<;ioN<; nF ANV DTHFR STATF no i nrAi i AW RFdii ATiNn VACUUM BREAKERS
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM
( SEWER MIIMHFR Cl FAwniiTS '•dm
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
SIGNATURE OF CONTRACTOR OR AuTHORjCtlD AGENT (DATE)
ISSUANCE FEE $ Sa
TOTAL FEES $ SIGNATURE OF OWNER (IF OWNE.R BU ILDER) (DATE) TOTAL FEES $
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
ELECTRICAL PERMIT APPLICATION
LSBAD, CALIFOF
Applicant to complete numbered spaces only. PhOnS 729-1181
City of CARLSBAD, CALIFORNIA 92008'^ ' ^'''^^fC Cy CS
Permit No. '
JOB ADDRESS
1089 Bfis C€»iz*t
,LEGAL
1 DESCR.
LOT NO.
298
BLK. TRACT , ,
SplMMJ»r Hill Uiiitf^#r"^°=""'
OWNER
2 SU
ItflAIL ADDRESS ZIP PHONE
m^ae4 fmcSJtte of S«R 7906 COHVOQT Cm&rt S«i m«go 92111 279-204^
CONTHACTOR MAIL ADDRESS PHONE STATE LIC NO.
3 Bator mmetvim, Stic. 2180 m&ymrB Aw. BBGcsidi^ 7^-2001 151T5o
CITY LIC. NO.
15X21
ARCHITECT OR DESIGNER
4
MAIL ADDRESS PHONE LICENSE NO.
ENGINEER
s
MAIL ADDRESS PHONE LICENSE NO.
COMPENSATION INS CARRfcp
6 On Fil# cil
MAIL ADDRESS BRANCH
USE OF BUILDING ^
8 Classofwork: l5j|j|^W •ADDITION •ALTERATION •REPAIR
9 Describe work: Rou#l Bt PllliSh Viril%
SPECIAL CONDITIONS:
PERMIT FEES
SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
No. Each Fee
APPLICATION ACCEPTED BY: PLANS CHECKED BY APPROVED FOR ISSUANCE BY
NEW CONSTRUCTION, FOR EACH 100
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
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 CERTIFV 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 DOES 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.
J2L
TEMP. SERVICE OVER 200 AMP.
PER 100
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
ISSUANCE FEE
SIGNATURE OF OWNER (IF OWNER BUILDERT (DATE) TOTAL FEES
•23 25
V. 03
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
I
/o^..^/XS
BUILDIilG
FOOTINGS J^^- 1/2G/77 (>CA
FOUNDATION
REINFORCED STEEI.
MASONRY
GUNITE OR GROU
SHEATIIING
FRAf4E 4^C r\
INSULATION
EXTERIOR LATH
INTERIOR LATH & DRYWALl
PLUMBING
SEVJER AND PL/CO \WAlte^ C^
PLUMBING UNDERGROUND
COPPER
TOP OUT
ELECTRICAL
UNDERGROUND
ROUGH
CEILING HEAT
BONDING
MECHANICAL
DUCTS PLEM, REF. PIPING
HEAT—AIR . '
VENTILATING SYSTEMS
PINAL: " .