HomeMy WebLinkAbout180 CHERRY AVE; ; 79-32; PermitMECHANICAL PERMIT APPLIC
City of CARLSBAD, CALIFORNIA 9200
'Applicant to complete numbered spaces only.729-1181 Permit No.
JOB AD.DR tSS
LEGALDESCR.Qs
OWNER
2 ~
MAIL ADDRESS
9 .3. £
CONTRACTOR MAIL ADDRESS'STATE LIC. NO.CITY LIC. NO.
ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO.
MAIL ADDRESS LICENSE NO.
MAIL ADDRESS
USE OF BUILDING J
8 Class of work: D NEW '-D ADDITION D ALTERATION D REPAIR
9 Describe work:•i-
Type of Fuel: Oil D Nat. Gas D LPG. D
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 ACCEPTED BY: PLANS CHECKED BY APPROVEO^OR ISSUANCE BY :Gravity Systems-B.T.U.M Ea.
Floor Furnaces— B.T.U.M
Wall Heaters,- 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.
I HEREBY CERTIFY THAT. I HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE'OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Unit Heaters-B.T.U.M
Evaporative Coolers
Clothes Dryers
Ventilation Fan
Range Hood
Air Handling Unit-C.F.M.
Incinerator
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
ISSUANCE FEE
SICNATU'RE'-QF/QWNER (IF OWNER BU4L.-6ER)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
CITY OF CARLSBAD
BUILDING DEPARTMENT
(714) 729-1181
CERTIFICATION
I, certify that in the-performance of the work for which this permit is issued fj.
,ii^,,,-a^,j3erson jn any manner so as to become subject to the workers' compensation
f^L,••-•-- -•-- tn's certificate, I become subject- to jthe, workers' compj!nis|;t'i;(gn pro-
fpthe California Labor-Code, I will forthwith co'mply with Secti&1*3*J06' of the.
Labor Ctfde?, ^.'-" * - ****'
Itffndjpts^a.nd that if I fail to comply with the workers' compensation Jaws-* th^s permit
shall lae'del'me'd'/evoked. . » • , , i,siidii gp ogetn,eq^rgyoKea. , , vri,^f -•* *
.^ |'Vftr|r|er*^er*t'ify that if I should contract or subcontract vvi,th any persbp-, i$icluding^a>nyv - \
firrhv.or c'ot^jjany, to do all 'o^part'of *|iie work for whicrT this'perrnit is issue'^1 shall as|^^ , .
complia'nce^by'that contraetb^or subcontractor with Section 380*0 of tha'(%iifdrni|*L*ab"or \; *
Code. ^'" v S*'--. r
SIGNED:
PRINT NAME AND TITLE: ^/y/A/^r tfi
" JOB ADDRESS:
* . DATED: