HomeMy WebLinkAbout1706 EVERGREEN CIR; ; 75-88; Permit, ~ 0 .
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumberedspacesonly. Phone 729-1181 Permit No. //l!f~_-_f<j'
JO& AOOR [SS . ASSESSOR"S
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ow-..u• MAIL A.00"1:SS ?IP PHON(
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CONT .. ACT0" . MAIL AODIIIE.SS PHON [ LICEN!.C N00 STATE CITY
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A"CHIT&CT 0111 DlS1GNC." -MAIL ADORCS5 PHONE LICtH~t NO,
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t.NGIN(CA -MAIL AOOIIICSS PHON[ LICCN$E NO,
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COMPENSATION INS, CARRIER MAIL ADORtSS 8PIANCH
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8 Class of work: ts.NEW 0 ADD ITION 0 ALTER ATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work:
10 Change of use from
Change of use to
11 Valuation of work. $ 5S. /Ii'~
("h
PLAN CHECK FH }t7~ -o I /4'? -PERMIT FEE $
SPECIAL CONDITIONS· MICRO FILM FEE Type of . -Al Occupancy ,:· Const Group . ---Size of Bldg. f No. of I Max
(Total) Sq. Ft, ~OIi Stories 0cc. Load -~
( /l Fore 1 use 1( Fore Sprinl<lers
APPL IC A TOON ACCEPTED av PLANS CHECKED av APPROVED FOR ISSUANCE BY zone Zone Required DYes GJrto' 'I OFFSTREET PARKING SPACES, , ... ,C.,-OATE :;t:.-.JB•"J\ No. o f , I ND, ~· Dwelling Ur1lts No, OATE Collerl:ltl ~~ Sq. Ft+' . ~ Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTAUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN120DAYS, 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 ANO KNOW THE SAME TO BE TRUE 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 r PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION DR THE PERFORMANCE OF CONSTRUCTION.
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!DATE)
,ICNATUJIC 0,. OW~[JI (I,-OWW[R.'I UILD(JIJ (DATt)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT :I/ ,
,;:, PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH /l/ .;' ,....
INSPECTOR
..
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH t
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
/ /
FINAL 7--;/~7~ 'J-11~ .YO f.:.. ~.~ rlA.__
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
4-21-75 Roof nailing : O.K. _E_. __ P_l_u_d __ e __________________________ ~
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0 :E ELECTRICAL PERMIT APPLICATION z City of CARLSBAD, CALIFORNIA 92008 "' Permit No. __ ll
?J-,VrP Applicant to complete numbered spaces only. Phone 729-1181
JO a ADDIII ISS --
l.706 ~ Cf.n:le
LOT NO, I 8LK I TIIACf74-3 Ll:.AL I 13 O•r:1t ATTACHED SHCI.T) 1 DUClt,
OWNU, MAIL AOOIIIE8S ZIP fl'MONE.
2 s. L. .& B. Service carp.,, 390 ,Qlk 1Veme, O!rlsbad, Ch. 92008 71~729-9242
CONTJIACTOIII MAIL ADOfltESS PHDNI: !O~U .... I:ZZI: LICENSt: NO.
3 en ...... Electric. Inc. P ,.O. Box 2186--;---!53378 U.b'11 -.,..,.......
A .. CHITICT O" OCSIGHUI: MAIL AODIIIIS. PHONI: LICEN8E. NO.
4
E.HGINEI" MAIL AOOJIESS PHONE LIC[NSE. NO.
5
LI.NDICJI MAIL ADDfllESa a"AHCH
6 _-::----::f_-~--;L__:,;.,, .. val. 0,. SUILDIHC.
7 Ieident1a1
8 Class of work: u)NEW 0 ADDITION 0 AL TE RATION 0 REPAIR
9 Describe work:
' PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT 2
NEW CONSTRUCTION, FOR EACH
-"~'?}7) Pl.ANS CHECKEO IY APPIIOVEO FOIi ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER 25 ~"" -
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 REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. 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 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 DOES NOT TEMP. SERVICE UP TO AND INCLUD· 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.
~/1
TEMP. SERVICE OVER 200 AMP.
1/111/ t/.-/J
PER 100
:;I$
819NATUIIE 0~ CONTIIACTOII Olt AUTHOltllltD AGl:NT (DATI:)
MINIMUM PERMIT FEE .27
••""u"'Tll" .. 01" OWNI:" IP' OWNEfl aUILOll"l COA TU
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 • .. 0 0 ll .. .. ..
100
00
00
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MECHANICAL PERMIT APPLICATI ON
1523*
Permit No.___ __
Applicant to complete numbered spaces only.
City of CARLSBAD, CALIFORNIA 92008
Phone 729-11 81
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OWHC" MAIL AODilllt[SS 1 1P PHONE.
I.ICENSI: NO,
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4
INOINE.t.ft
5
LENOUI
6
USE. 0,. BUILDING
7
8 Class of work: 0 ADDITION
9 Describe work:
SPECIAL CONDITIONS:
MAIL AOD,tCSS
MAIL ADDilllt[SS
0 ALTERATION
.... .,.HONE
alO,HCt4
0 REPAIR
Type of Fuel: Oil 0 Nat. Gas D LPG. D
PERMIT FEES
No. Type of Equipment
Air Cond. Units-H.P. Ea .
Refrigeration Units-H.P, Ea.
Boilers H.P. Ea.
Gas Fired A.C. Units-Tonnage Ea.
A / Forced Air Systems B.TU. ,~~ M Ea.
$
*
0
2i z
l'I ll
Fee
1LO
...
0
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> 0
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APPLICATION ACCE.PTf.0 8Y PLANS CHECKED BY ,.. 7Z/PPROV( A ISSUANCE BY .. ---+--G-ra_v_it_y_s_y_s_te_m_s_B_.T_._u_. _______ M_E_a. ___ -+--·-1---i Floor Furnaces-B.T U. M
Wall Heater,-B T.U. M
NOTICE '-• Unit Heaters-B.T.U. M
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
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·
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 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.
~ICM.&.TI fll:t 01' OWJrr,1[111 I~ OWNC:PI 8UILD1llll DA.Tit)
Evaporative Coolers
Clothes Dryers
Ventilation Fan
Range Hood
Air Handling Unit-
Incinerator
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
C.F.M.
PERMIT
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
s
s ;-, --:· ,
CASH
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CITY OF CARLSBAD
BUILDING DEPARTMENT
(714) 729-1181
CERTIFICATION
I certify that in the performance of the work for which this permit is issued I shall not
employ any person in any manner so as to become subject to the workers' compensation
laws of California.
If, after making this certificate, I become subject to the workers' compensation pro-
visions of the California Labor Code, I will forthwith comply with Section 3700 of the
Labor Code.
I understand that if I fail to comply with the workers' compensation laws, this permit
shall be deemed revoked.
I further certify that if I should contract or subcontract with any person, including any
firm or company, to do all or part of the work for which this permit is issued, I shall assure
compliance by that contractor or subcontractor wit Section 3800 of the California Labor
Code.
SIGN ED: ..J!,1)1:lAdL::t,.._./!,J.!f:d:z~'G<C.<'.l......~-----
PR I NT NAME AND Tl TL E: .£'..U~.b...::,,i__,_~.l.1.Q.~.J:..1:.1_ _ _',o,,,w""'-"0='-'c"".f!__"=._ __
JOB ADDRESS: /)o/o ~UE~@§t1v (/,e_.
DATED: ID-31-]1