HomeMy WebLinkAbout1200 CARLSBAD VILLAGE DR; ; 77-5484; PermitMECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only PnORG 729-1181 Permit No
JOB ADDR CSS
1200 &H Ave., CarlRhRd, Ca.
. LEGAL
1 OE3CR
OWNER
2
CONTRAC
3
LOT NO
Citv o£ Case
Ton
^HM^^H^tJIJ C
BLK
Isbad 1200 Etaa
TRACT
i[_JSEE ATTACMEO SHEET]
t&S: 9^808 729-flM
MAIL ADDRESS PHONE STATE LIC NO CITY L!C NO
GEgC^mm P. 0. BCK 1290 75>2720 174405 12¥21
ARCHITECT OR DESIGNER
4
ENGINEER
5
LENDER
6 -!
MAI L
MAI L
MAIL
ADDRESS PHONE LICENSE NO
ADDRESS PHONE LICENSE NO
ADDRESS BRANCH
USE OF BUI LOINS
7
8 Class of work D NEW [^ADDITION
9 Describe work Install t-Ko
D ALTERATION G REPAIR
(2)Gudocr Furnaces
•
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SPECIAL CONDITIONS
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1
APPLICATION ACCEPTED BY PLAN CHECKED BY APPROVED FOR ISSUANCE flV_
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORKTION AUTHORIZED IS NOT COMMENCED WITHIN• CONSTRUCTION OR WORK IS SUSPENDED OR ABAPERIOD OF 120 DAYS AT ANY TIME AFTER
MENCED
1 HEREBY CERTIFY THAT 1 HAVE READ AND E
APPLICATION AND KNOW THE SAME TO BE TRUE
ALL PROVISIONS OF LAWS AND ORDINANCES G(
TYPE OF WORK WILL BE COMPLIED WITH WHET
HEREIN OR NOT, THE GRANTING OF A PERPRESUME TO GIVE AUTHORITY TO VIOLATE O
PROVISIONS OF ANY OTHER STATE OR LOCAL LACONSTRUCTION OR THE PERFORMANCE OF C
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, SIGNATURE OF CONTRACTOR OR AUTHORIZED ACENT
9ICNATUME OF OWNER HF OWNER BUILDER)
OR CONSTRUC
120 DAYS, OR IF
NDONED FOR A
WORK IS COM-
IXAMINED THIS
AND CORRECT
DVERNING THIS
HER SPECIFIED
VI IT DOES NOT
R CANCEL THE
W REGULATING:ONSTRUCTION
(DATE)
[DATE)
Type of Fuel Oil D Nat Gas D LPG D
PERMIT FEES
No
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2
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*
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Type of Equipment
Air Cond Units-H P Ea
Refrigeration Umts-H P Ea
Boilers-H P Ea „
Gas Fired A C Units -Tonnage Ea $
Forced Air Systems-B T U ilO»OOQ Ea
Gravity Systems-B T U M Ea
Floor Furnaces— B T U M
WallHeateri-BTU M
Unit Heoters-B T U s£f, M
Evaporative Coolers
Clothes Dryers
Ventilation Fan ~* ~ "
Range Hood
Air Handling Unit- C F M
Incinerator
•
ISSUANCE FEE $
TOTAL FEES $
Fee '
$
•
do
-
•
/•&:£
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
INSPECTOR
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DATE ITEM
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^- > -
INSPECTION REPORTS
REMARKS
*
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INSPECTOR
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USE SPACE BELOW FOP NOTES. FOLLOW-UP, ETC