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Home My WebLink About1705 EVERGREEN CIR; ; 75-93; Permit0 BUILDING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 r Applicant co complete numbered spaces only. Phone 7 29-1181 Perm 11 No. JOB ADDA £SS ASSESSOR'S l7r~ --J}i,, J~&k L i i: J \.,,' ,,~c C..e-PARCEL NUMBER - LOT N~ 1 ·L· I TRAC/i/-8' BOOK PAGE I PAR, LEGAL I tQ sEc ATTACtu:o SHCCTI 1 D&$C •. OWNER MAIL ADDRESS tip P'HON[ 2 a.~.J.,.~ • {!,1.-) . ~ 2'* /(a~ e ' ,~ S e;1..ll•c..f::'-•1'.t' L'' • .M1.J.. U I iJ. /),, j CONTRACTOR lifMA IL ADDRESS PHON [ LICENSE NO. STATE CITY 3 ~H\I 1 l '.\:.I . u ~ I t ~ --. ~ ') } I ARCHITECT OR O[SIGNtR -MAIL AD0A[S5 PHON [ LICENSE NO, , 4 ---., I C tC.. ,,c:-De/. 'i" .' J }<1~/ -, J-.f--.._ ENGIN[tfl\ MAIL ADDR ESS ,. F'HONc' .. LIC ENSE NO. 5 ' COMPENSATION INS. CARRIER MAIL ADDRESS BR-'NCH t:i .l\i 6 -c." ~l. ..... ~ -/.f ,.. .i ; -; --• ...., 4 l lL,I i ,, i"l' ,A , usro, BUILDING ' .-;'-tl ,~' -_-;:r ./r,T ~ -"fkf~ qO . 7 ~ ,I, (, \. oa"""T D / I , _. -fr-. ,, 'i ... '111-i, -~' •1~ rr.r- ' .. 8 Class of work: CSlNEW 0 ADD ITION 0 ALTER ATI ON 0 REPAIR 0 MOVE 0 REMOVE 9 Describe work : 10 Change of use from Change of use to 11 Valuation of work: $ ;: /<{ I PERMIT FEE $ ., (; ~ PLAN CHECK FEE $ SPECIAL CONDITIONS: Ai MICRO FILM FEE Type Of Occupancy " Const. ·_1 Group / Size of Bldg. 1 No. of / Max. -(Total) Sq. Ft,'';(} Stories 0cc. L oad 3 ' rt"':, Fire use Fire Sprinklers APPLICATION ACCEPTED SY PLANS CHECKED BY APPROVED f OR ISSUANCE BY Zone zone Required Oves C:3No No. Of l OFFSTRE;.E:T PARKING SPACES: ;_ -(7 -nf-1 !No. J .. /') Dwelling U nits No . DATE D·ATE Covered Sq. Pot. Open NOTICE Sp.,cial Approvals Required Received Not Required SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-PLANNING DEPT. ING, HEATING, VENTI LATING OR AIR CON DITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· T ION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS, OR IF FIRE DEPT. CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM· MENCED. OTHER (Specify) I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE T RUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. 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 CONSTRUC,flON OR THE PERFORMANCE OF CONSTRUCTION. , '-" r /i .::.. · r .L",..- s1GNATU,.E Of' coNTRAETo" o PI: AlfTH0111 1z.to AGENT (DATE) . /{)//£. . 1/ ,,.";;" .. ~~,e._ SICiNATUf'[. OF OWN£"-ti,. 0.WN'<Jt BUILDER) (DAT£) WHEN PROPERLY VALIDATED (IN THIS SPACEl·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 I /1 ' FINAL ,;jtj);~ ~ J-i u ,A /_# ~I µ~;-JtthrL I 1· l - USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. ELECT~AL PERMIT APPL2ATION Permit No. City of CARLSBAD, CALIFORNIA 92008 135 ..... • 0 1 z .. " ~ • • 0 0 .,, ct' 3 Applicant to complete numbered spaces only. Phone 729-1181 7,-.. t./Y i~ " .. .. z 0 .. . Jo• •001111 r:ss ·~ 1705 -Oin:le I LOT NO. LIIAL 1 DUCII, 18 I BLK I '";;Ml t0S1.C ATTACHED 8HI.I.T) OWNI._. MAIL AOOIIII.SS llP _.NOMC 2 -·s:; 1,;-~ ·C. 1'.: f !.'!!='-' ·~~··• }3j{'._ ~-'!..!..Y' .It--=, -~l_~., "@.,1f.1_1.jB 714-72~:Z CONT"ACTO" MAIL ADDlltas PHOHI. LIClNSE NO. 3 nm t:;~,,.,. 111-... ·-·-'"" rn .n r-?tt:tr\_ , ...... -. •; ~28-1221. IJ ~'f,'l7ft AIIICHITI.CT 011 01.SIGNI." -MAIL AOD .. l.SS l'HONI LICINSI NO, 4 I.NGINI.I." MAIL AOO .. I.SS ,HONI. t.tCUri!SE NO. 5 LllNOU, MAIL ADD .. l.85 BIIIAHCH 6 USI. 01' 8UILOING 7 ,Bem.dmtial. 8 Class of work: ONEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: PERMIT FEES No. Each FN SPECIAL CONDITIONS: ISSUANCE OF EACH PERMIT : oc NEW CONSTRUCTION, FOR EACH A,.,LICATION ACCE'TEO BY P~NS CHECKED BY Al'PAOVEO FOR ISSUANCE 8Y AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER 1/1. 100 m'.P ·~ 10( . NEW SERVICE ON EXISTING BLDG . --NOTICE FOR EA. AMPERE OF INCREASE 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 DAYS AT ANY TIME AFTER WORK IS COM-REMODEL, ALTERATION, NO CHANGE MENCED. IN SERVICE, FOR EA. AMPERE OF I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS INCREASE TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO AND INC LUO· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. / TEMP. SERVICE OVER 200 AMP. / ., PER 100 ' ' ;) atCINATUIIC OY CONTIIACTOII 011 AUTHOllllCD AGENT (DATE) MINIMUM PERMIT FEE z 01 .,GNATUIIC OY OWNCII IIY OWNCII •UILOUU (DATU WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK, M.O. CASH INSPECTOR 0 L. ~ 0 MECHAiQCAL PERMIT APP~ATION , zs• City of CARLSBAD, CALIFORNIA 92008 2 a, fl\ )> lJ Permit No. -'7,C",...? .-,::,~· 0 ---Phone 729-1181 0 Applicant to complete numbered spaces only. lJ fl\ J08 ADO .. ESS , -_,,,_ .. .. /N.,.,~ ~--~ .,?.-,6,= -,, ~,,,.~;---~------_.,. -~.-,,,-7 ' ---i.OT NO, --l n• I ucc:,,.4'( / r -.,--.-,;, ..,....... 1 ~~=~~. Qsr.£ ATTACHED SMECTJ #' OWNEfll MAIL ADDll\sl( ZIP ,.HONI 2 / _,;, ,,,,.~.,,,,/ ~--.-#~ ~">Y, jz:T' ,~-:.~ ~ -CONTIIACTOlf --MAIL ADf>llt:SS ~ --- - PHO"'IE_._ --llCl:HSE NO. 3 ,-.,b-...... -:r'::;11'* --~-#/~ /;JI. ----.Jl'r~ ,___.. .... .-_.,., -·-A AlltHTTt:.:"'I' '1ft CJl:lfl GNEII --MAIL AOO,t£8S --PHONE LIC£NSl NO,' ,; 4 ~~-/~-1 . ..!!1 ,4 .L..-~ .,,./ t.NOIHE.IUI MAIL ADDftl.SS . PMOHI --.,. ........--LIC'fN't; ~ ' , 5 lENOCR MAIL ADDllltl.SS 1-.ANCH 6 usr: o, 8UILDINC 7 8 Class of work: [:J..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. Al'f'llCATION ACCEPTED ev PLANS CHECKED BY -;{'' ,-,~" Gravity Systems-B.T.U. M Ea. ~ Floor Furnaces -B.T.U. G,,Y') M ,4' ii"')/"" -Wall Heater&-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 ANO KNOW THE SAME TO BE TRUE ANO CORRECT. Air Handling Unit-C.F.M. 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 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE Incinerator PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. . /,P~A' ., ~ _/ ~ --_..,;,-~ :ti: ....::> G/" ?,.-, ..:;.. SICiNATUl'I~ o, CONT .. ACTO .. Olli AUTHO!ltlZ.I.D AGCN~ IDATt:J r ,,.... PERMIT $ ::,, ~. AIGN.6.TI ftl'. o, OWNE.11111 tlP' OWNtlll 8UILOl.f0 (OATI.) TOTAL FEE $ --:7 rtl· WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT -- PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR :z 0 I LO'r , 'rRACT ... ~,, ,-.. ; =·-== ... . /"7()9: ~~ ;-, ~;~ .. -aA~ .: ··tfilrrrr1Gs · 1 f).J/7J r-< 1.:; • .QJ.1.!ID1ITL~~---~-~-~~---~---,-.--·• ~~Q=ll~RY..__~------~------- Q_llJ:UILQ.LLJP~Q!-LL_ ___________ _ -Eto..olL.& ___ C}:-.r.u11.rl.....S.w1JnMJ ..... E _ • .• HEATHUl.G ~V\ME tXI, I ATf .) ··.) }_) ' ' ' r V'.js) t :em & S!!Q\'.1I.L'U:l1,}L i:;;-__ ·.,__,f_·_,.7c..·r:_.,_k,::.i:,<c.;.£~· ...:..: _·_· ·_··_· ..-~ f'\s_J.£s~I~~~--~~~-·~·-~>~~:;c_;=,.~·-"·· --Et ECiRl.C. -.. i.ECTRIC ULL _________ _ J..,_u_cil:LEI !.:CT!H c tlJ:CTRIC St:INICE -.......... .. J..;lilllG.JJJ.".1. 1..L..-------................. ~DJJiG~~~~~--~-- (1':F.I. ... .. Du CT & Pl E1Ju-8Ef: • p ll?..UJfi.,,., '°r-\-\c¥r+---k .. . .. ·•·· ... l-'!11L=-...Au1.fo1w....__,.~y_sn:as ____ ~...,_--- '..'":.N.IllllI11:1c,__Sy_SJJ:tti ____ -.ll-~-- • ER D RA ON rm th I am exempt from ense law for the following eason Business and Professions Code), Any city or c nty which requires a permit to con- struct, r, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to We a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civH penalty of not more than five hundred dollars ($500). Cl, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or of- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or of- fered for sale. If, however. the building or 'improve- ment is sold within one year of completion. the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). :.1, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not ap- ply to an owner of property ·•ho builds or im- proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's license Law}. I am exempt under Sec. _____ , B. & P.C. for this reason, _____ _ Date _______ Owner _____ _ WORKERS' COMPENSATION DECLARATION l hereby affirm that I have a certificate of con-shit to self-insure, or a certificate of Workers' Compensation Insurance, or a certified copy !hereof (Sec.,~c, Ll!_bo. , Co.de). ( _ "),::.. _;; POLICY NO. -· ,L_ 2-p L-._A-) COMPANY ,-• t·, f ,-! i J· > , •,,. . )QCopy is filed with the city. "}, OCertified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mit is for one hundred dollars ($100) or less). 1 certify that in the performance of the work for which this permit is issued, I sh;;i.l! not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: ff, after making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there ·1s a construction len- ding agency for the performance of the work for which this permit is issued (Sec. 3097, Civil Code}. USE BALL POINT PEN ONLY No. APP. 1200 ATION & PERMIT ELM AVENUE (714) 438-5525 JOB ADDRESS I ~ () ,t:, I (-"' Iv' ,E. "~ C '~ [_ f f.) I {'__,/ /, LL if I I I I ' '. I I ~VR~T ,: )°// 2 5JL?/ION OWNER OWNER'S PHONE PRIME CONTRACTOR 1-J ,,~( / , I) '-·' . er/ -fi K 7 2. 9-'1?,]i/ /5Ul)G:,i:7 pt..{_; 11-1,::,1 IL' G OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS 70.':; C-(.)(("l(C::.C(i ~-·, ((_ le,. I (..,1 I I "i 20 { -f{."111.i) J:F }_ L/ ,o, BLOCK l suaD1Vrs10N ASSESSOR'S PARCEL NO. DESIGNER "7AN JA4g.w5 I ' I I I ' ' ' ' ' DESCRIPTION OF WORK uc. c,o i Uu. -k ( Au ._--k, DESIGNER'S ADDRESS , """:-~, CENSUS TRACT GP LANO USE ZONING UN ITS APPL' MATIO,, 'ff TO FILL IN INFOR - WITHIN RED LINES. BUS. L lCENSE PERMIT NUMBER 2c. L-:j (c: fl,. STATE LICENSE 3o7 2... 91 'i{0::;- CONTRACTOR'S PHO!/ _ __ 74 £, -q ",::0 2.. STATE LICENSE i.J/'t:J/.j I WtHi4 ut,;l.}fj~4i1 d2?-I OES!GNER'S PHONE . 10.,..;r ~-1 / 7fl, ,JI I "'· : PARKING SPACE I NUMBER OF STORIES Not Valid Unless Machine CIJrtifi«J BLDG SO. FT, BLOG USE acc. GP I STANDARD PLAN 11 I PLAN ID_" I TYPE CONST I occ. LOAD I UTY. PLUMBING PERMIT AMT. UTY. ME\HAllCA~ERMIT AMT. EACH FIXTURE TRAP INSTALL FURlll DUCTS..tJP TO 100,000 BTU EACH BUILDING SEWER '\ / OVER 100,000 BTU J EACH WATER HEATER ANO/OR VENT ,,,,. ,:.,,n BOILER/coMPRESSOS UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS -. BOILER/COMPRESS OR°'l.15 HP EACH GAS SYSTEM 5 OR MORE 801 LEA/COMPRESS R 16-'.f'A..HP . EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE UCT '" ./ EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -~0001our--<'\ WATER SOFTNER RELOCATION OF Ftl""1AC E/H EAl,E R BUILDING PERMIT I I I I /~U'I. -, ~L) "' SIGN PERMIT I I I I , TOTAL PLUM£1fNG '" -7M CHANICAL //)GOO PLAN CHECK I I I I CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I ELECTRICAL PERMIT AMT. V "MOB IL!' HOME)'ERMIT AMT. TOTAL PLUMBING E,010 UTY. ' UTY. ELECTRICAL I I NEW CONS°N:A AMP/SWT/BKR I / AWNING\ / MECHANICAL I I I !PH .25 " )'PH / PORCH ' / MOBILE HOME I I I EXIST 8 LOG EA A'l(P/SWT /BKR / / SET-UP .v . SOLAR I I I I !PH .25 " / 3 PH/ , I' V '. RAMADA, CAfJA~ I I I I REMODEL/ALTER PER 'SmCUIT . 'I; <;:, I FENCE O..CR 6' " I I I I TEMP POLE 200 AMPV " . ,. TOTAL lllOBILE HOME " MICO-FJLM I I I I OVER 200 AMPS I .... / ' \.' I/ ..... I I I I TEMP OCCUPANC/130 DAYSI / ' I, ~ I I I I ·-/ / I\ . II I I I I TOTAL ELECT~ I I '0 TOTAL FEES PAYABLE I CONTRACTOR I I I ii ifJ ,., 11:1 ' L . , I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, ANO DO •AN OSHA PERMIT IS AEQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0°' DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS 1SSUEO;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3STORIES 1N HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER .. SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCAUE AGAINST SAID CITY IN CONSEQUENCE ow'* - OF THE GRANT!NG OF THIS PEA MIT. rJ.CICA~r/~ '!l,u~.7 7'! CDNTRACTO'II ~r/lRQVED BY ' '* DATE ( I (Y f; ' I • /,} I J]> AGE T BY PHONE /)..V, ul AA Yi bt23·8/ ) -'i' ,-.. l:lP TL "' 0 V) V) w V) ~ ELECTRICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 7 29-1181 Perm it No. JOB ADDRESS I OWNER 2 ' ' LOT NO, BLK. TRACT MAIL ADDRESS <Os££ ATTACHED SHEET) J.• ZIP PHONE J:.#=N CI .i ,,O ... )' /· CONTRACTOR MAI L ADDRESS PHONE STATE LfC. NO. 3 ,;, I' ,,. , ,II I , ... ARCHITECT OR DESIGNER MAIL ADDRESS 4 ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 COM PENSATION INS CARRIER MAIL ADDRESS BRANCH 6 USE Of' BU ILDING 7 8 Class of work: ONEW 9 Describe work: PERMIT FEES ... ...... SPECIAL CONDITIONS: p..::.;..=:.:.:..;=-::.::..:.:.=.._:_..:_ ___ ..,,----------------t SWIMMING POOL WIRINrG, 1--------------'-=----...;._-_:. ___ ..;,.... ___ -=.._---i No INCREASE IN SERVICE NEW CONSTRUCTION, FOR EACH 1-...,,.-t-1c-,,.-T-,o-N_A_c_c_EP_T_E_o_1_v-.-,t-A_N_s_cH_E_C_K_Eo-ev ___ ....,..A_P_PR-o-v_E_o_F_D_R _1ss_u_A_N_c_e_a_v-t AM PER ES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER D AT E 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 ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCE~ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT ODES 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. f WNER f OWNER BUILDER OAT 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 ISSUANC~FEE TOTAL FEES WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, 11'11(.DS:t"TOD No. Each M.O. CITY LIC. NO. CASH -. ' iNSPECTION REPORTS DATE ITEM REMARKS INSPECTOR i--- r---- - . -A-ti lo~kFb J.( /' e o "'/ p No--r--/ -(r. CT " IN. -,_ -~ .' :10 /'-4tt. -USE SPAC • I .71--?r