HomeMy WebLinkAbout1701 EVERGREEN CIR; ; 75-95; PermitBUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumberedspacesonly. Phone 729-1181 Permit No.
JOB A00 .. £5S
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COMPENSATION INS. CARRIER
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USE 0,. IUILOINQ
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8 Class of work: ~NEW
9 Describe work:
TO Change of use from
Change of use to
T 1 Valuation of work: $
MAIL AOOR[SS
MAIL AOO .. E.SS -,. ) -I_,.\) I Jt.""'1-... " , 1 '-I
0 ADDITION 0 ALTERATION
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PHONE LICCN5C. t,,,Q.
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PHONE LIC[NS[ NO.
BIIANCH
0 REPAIR OMOVE 0 REMOVE
PLAN CHECK FEE s I t":J, I PERMIT FEE $
PAR,
CITY
rS_P_E_C_I_A_L_C_O_N_D_I_T_IO_N_S_·--------------------t Typeof
Const. V MICRO FILM FEE , Occupancy J I
Group / '-
1-------------------------------1 Size of Bldg. / No. of / (Total) Sq. F't · t 'fl Stories 1-------------------------------t-----+-~...._,,._--t----------+-----------1
Max.
0cc. Load
APPLICATION ACCHTEO BY PLANS CHECKED av APPROVED FOR ISSUANCE av
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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 120DAYS, 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 SPECIFIEO HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER SlATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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(DAT[>
~IGNA.TUIII[ 0,.. OWN[III (I~ ow-.Eflt &rilLDtlllJ iDATl)
No. of
Dwelling Units
Special Approvals
PLANNING DEPT.
HEAL TH DEPT.
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT,
Use Fire Sprinklers
Zone Required 0Yes e3No
OFFSTREET PARKl['IG SPACES
No. ~ !No. Coveroct _ Sq. rt'. _ Open
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
INSPECTOR
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
I 1..-:-P -j;;-z FINAL ;)r1;fs-~-1/t~L-d j(_ph ~
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USE SPACE BELOW FOR NOTES, FOLLOWUP, ETC.
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ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
App!icanttocompletenumberedspacesonly Phone 729-1181 Permit No
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2 s. L. & . Se:rviee o:,r;p •• 90 Cnk "!\~1 Olrl.sbo:l,. .... 1 • 92008 n-1-129-924 ...
CON T .. AC TO" -, MAIL A001111£S5 ' PHOf,fE LICENSE NO, ST ATE CITY
3 "C . ,i:.'Gee '1eci±ic, Inc., P .(). <m 2186 -628-1221 15337$ 8738 ... •1• ., ·-,
Alll:CHI TCCT 01111 01:SIGNE" MA.IL ADDIIU:ss l9cHON£ LICtN.S[ NO,
4
ENGINEEIIII MAIL ADDRESS P~ONE < LICENSE NO,
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COMPENSATION INS CARR IER ' MAIL AOOfltES5 IIUIIANCH
6 ~ . ' US£ 0,. BUILDING
7 ~lcs:thl
8 Class of work: lkNEW 0 ADDITION 0 ALTERATION 0 REPAIR
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9 Describe work:
.
' -.
f\ I -,, PERMIT FEES
-No. Each Fee
SPECIAL CONDITIONS: .1 ',;''
, ~r ISSUANCE OF EACH PERMIT 2 0 '
.. ''
NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTEO BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER lOQ a:~ 25 0
j DATE NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE ' NOTICE IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· OR BREAKER .. ,
' TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
' CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAY~ AT ANY TIME AFTER WORK IS COM REMODEL, ALTERATION, NO CHANGE
MEN CED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCE~ GOVERNING THIS ---TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER ST ATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
I, _:y TEMP. SERVICE OVER 200 AMP. / ,J , PER 100
t//'t _./ r ~ ' -alONATUfl& 0~ CONTPIACTOfl Ofl AUTHOfllZl:D AGl:NT (DAT£)
PERMIT FEE z.i 00
A CNAT11•• ftP' nwHE.fl ,~ OWNI:" autLOE.fl DA.Tit -
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALlDATION CK. M.O. CASH
INSPECTOR
0 I. ~ 0 MECHAjQCAL PERMIT APP62:ATION
City of CARLSBAD, CALIFORNIA 92008 z Ill
"' )> Permit No. __ lJ a ---Phone 729-1181 7~-'ss£ a Applicant to complete numbered spaces only. . lJ
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8 Class of work: G}NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
Type of Fuel: Oil D Nat. Gas D LPG. 0
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. ....... _ M Ea. // --APPLICATION ACCEPTEO av PLANS CHECKED BY H"'~""-"" , Gravity Systems BTU. --M Ea. -,
Floor Furnaces B.T.U. M
Wall Heaters.-B.T.U. M
NOTICE ,,,, ~ Unit Heaters-B.T U. M ·•'°'
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-Evaporative Coolers
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF Clothes Dryers CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· Ventilation Fan
MENCED. Range Hood I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. Air Handling Unit-C.F.M. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED Incinerator 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.
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PERMIT s ~ ,..._
TOTAL FEE $~ ,--
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WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT ,.
PLAN CHECK VALIDATION CK . M.O. CASH PERMIT VALIDATION CK . M.O. CA SH
INSPECTOR
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