HomeMy WebLinkAbout2175 CAMINO VIDA ROBLE; ; 79-58 | 79-387; PermitMODEL NO.
Applicant to complete numbered spaces only.
BUILDING PERMIT APPLICATION^^
City of CARLSBAD, CALIFORNIA 920d?P8573 !(V0^79 _?g
Phone 729-1181 Permit Nn ~7v~^ O
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JOB ADDR ESS
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ASSESSOR'S
PARCEL NUMBER
BOOK PAGE PAR
4AIL ADDRESS STATE LIC. NO.CITY LIC. NO.
COMPENSATION INS. CARRIER
Or BUILDIN
. 0[AMS.NO. BATHS,
8 Class of work: D NEW Kf ADDITION D ALTERATION D REPAIR D MOVE D REMOVE
9 Describe work:
-p
10 Change of use from
;# i1^M
^Change of use to
11 Valuation of work:PLAN CKECK FEE s PERMIT FEE $
SPECIAL CONDITIONS:Type o
Const.
* f*"*- ^rfupancy
YJ Gro^P
MICRO FILM FEE
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 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 REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
1NATJB% tfp^CONTRACTOR OR AUTHOKlZED AGENT
SIGNATURE Of OWNER (IF OWNEH BUILDER!
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.M.O
TOTAL FEES $
MECHANICAL PERMIT APPLICAtlON
City of CARLSBAD, CALIFORNIA 92008 *,
Applicant to complete numbered spaces only. PnOilS ,729-1181 Permit No..
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JOB ADDR ESS
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OWNER
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TRACT , ,
iLJSEC ATTACHED 3HEET|
ADDRESS X^^.j^C^yC ^5 ' jf^ Z1P PHONE
ADOREssy •jy^, ^& &ftf?&JPP*"*- STATE LIC. NO. CITY LIC. NO.
ADDRESS PHONE LICENSE NO.
ADDRESS , PHONE LICENSE NO.
ADDRESS BRANCH ^_^
f (r £• ^/^frt "^ *^ i r frff £• *"
J
*< 7TT~{ f~& /?s? >Vy £~~&£s x/ii2^rx £ -"Si/ /T*
D ALTERATION C REPAIR
9 Describe work: /^^^ #^^ JM -r^wW^V^T ^f^^.
•'.i " .- ' it.
/•fQ* ' L!J
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SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY
. Xr
PLANS CHECKED BY
2 ^7
APPROVED FOR ISSUANCE BY
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK
TION AUTHORIZED IS NOT COMMENCED WITHIN
CONSTRUCTION OR WORK IS SUSPENDED OR ABA
PERIOD OF 120 DAYS AT ANY TIME AFTER
MENCED.
1 HEREBY CERTIFY THAT I HAVE READ AND EAPPLICATION AND KNOW THE SAME TO BE TRUEALL PROVISIONS OF LAWS AND ORDINANCES GCTYPE OF WORK WILL BE COMPLIED WITH WHETHEREIN OR NOT, THE GRANTING OF A PERU
PRESUME TO GIVE AUTHORITY TO VIOLATE O
PROVISIONS OF ANY OTHER STATE OR LOCAL LA
CONSTRUCTION OR THE PERFORMANCE OF C
;y /^$LiS2?S§5^ x*
^•JtCA^TUflE^Vr CONTRACTOR OH AUTHORIZED A6KMT
• ICMATUHE Of OWHER (IF OWNER •UIL.DCM)
OR CONSTRUC-120 DAYS. OR IF
NDONEDFOR AWORK IS COM-
XAMINED THISAND CORRECT.WERNING THIS
HER SPECIFIED/IT DOES NOTR CANCEL THEAT REGULATING
ONSTRUCTION.
/ ' J •;$*}»*3 y^» ""' ^Zj$
' (OAS^'
(DATt)
Type of Fuel: Oil D Nat. Gas D LP6.' D
. . PERMIT FEES- , / ; ;^; -^. '*
No.
f
. f
.
-Typ* of Equipment1."'. :
AirCond, Units^H.P. Ea. FQ 4} ' ^" •
Refrifleration Urtrts-H.P. Ea. '* ; .''. i
Boilers-H.P. Ea.
Gas Fired A.C. Units-Tonnage Ea.
Forced AirSystems^lK.U. M Ea.
Gravity SystemSiJl^B?. M Ea.
Floor F urnaegg^P^S M
Wall HeaigrrtTtj^; M
Unit Hefaters-B.f^&^S M
Evaporative Cooftrs
-Clothes Dryers
Ventilation pan
Range Hood
Air Handling Unit- C.F.M.
Incinerator
.,,..
'?'• rt • ,-. v ^
> -''../ . i:..>. ^
/ ISsifliiNCEFEE "1
^ !- v TOTAL Fffi^l . $
FM
s ^
,M^J
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isjja*'
'(Odj
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASHERMIT VALIDATION CK.M.O.CASH-
INSPECTOR