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HomeMy WebLinkAbout2300 PIO PICO DR; MULTI-PERMIT FILE; 85-551; PermitI hereby affirm that I am licensed under Provisions of Chapter 9 (commencing with Section 700e) of Division 3 of the Business aDd Professions Code, and my license Is in full force and effect. tic No _________________ Class i hereby affirm that I am exempt from the Contrac- tor's License Law for the toliowing reason (Sec. 7031.5 Business and Professions Code: Any city or county which re quires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the ap- plicant for such permit to tile a signed statement that he is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 commencing with Section 7000 of Division 301 the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged exemption. Any violation at Section 7031.5 by an applicant for a permit sub- jects the applicant to a civil penalty at not more than live hun- dred dollars )S500). 13 1, as owner 01 the property, army employees with wages as their sole compensation, will do the work, and the struc- ture is not intended or altered for sale (Sec. 7044, Business and Professions Coda: The Contractor's License Law dons not apply in 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 intend- ad or altered for sale. It, however, the building or improve- ment is sold within one year at completion, the owner-builder will have the burden 01 proving that he did net build or im- prove for the purpose at sale). I, as owner at the property, am exclusively coniraciiog with Ecensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law dens not apply loan owner at property who builds or im- proves thereon, and who contracts for each projects with a Contractors) license pursuant In the Contractor's License Law). As a homeowner i am improving my home, and the follow- ing conditions exist: The work is being performed prior to sale. I have lived in my home for twelve months prior to completion 01 this work. I have not Claimed this exemption during the test three years. tam exempt under Soc. ___________________ . B & P.C. for this reason - I hereby affirm that I have a certikcate 01 consent to setlinsure, or a certiticate 01 Workers' Compensation Insurance, or a certified Copy thereOt (Sec 3800. Labor Codel POLICY NO COMPANY Copy is tiled with the City Certified copy is hereby furnished CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if vie permit is to, one hundred dollars lSr00l or less) 0 I certify that in the performance 01 the worry for whiCh this permit is issued. I shall not employ any person in any manner so as to become sebleCl to the Workers' Compensation Laws of ('.almlnmn,a NOTICE TO APPLICANT It. alter making this Cent ticate 01 Exemption, you stSould become sublecl I'D the Workers' Compensation provisions 01 the Labor Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked I hereby allirrrr that there is 'a construction lending agency or the performance 01 the work 10, Which 1hr5 permit is issued (Sec 3097, Civil Code) Lender's Name_ Lender's Address U(ALL POINT141fil ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. - CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008.1989 (619) 438-5525 JOB ADDRESS AV, ST. RD, NEAREST CROSS ST. DATE OF APPLICATION BUSINESS LICENSE # ALUATI PERMIT NUMBER O / Co ' t). 5P 752s q ?O rf 7L - ZONE LOT BLOCK SUBDIVISION I ASSpR_PARr.Ei,.,4O I / CONTRACTOR CONTRACTORS PHONE if O R'SNAME IP,PeR F c OWNER'S PHONE TRACTOR'S ADDRESS ( 'e 7 9. 70 ( 27 LICENSE NO. PLAN 1.0, 'BLDG USE CODE L1 Li1 MAILING PDRESS DESIGNER - OWNERS ______ LICENSE if _______ STANDARD PLAN # BUILDING SO. FOOTAGE 3o D. DESCRIPTION OF WORK DESIGNER'S ADDRESS DESIGNER'S PHONE FLRELEV. NO OCC GP I I EDU YO NO I ( N'J ,1e' 99 OOO1765 - I 9395 CENSUS TRACT OP LAND USE PARKING SPACE RES UNITS GRADING PERMIT ISSUED I REDEVELOPMENT I TV E 0CC LOAD FIRE SPR I AREA alt)) 0 N 0 j Y 0 N i I YO N/' - Va/id Unless Machine Certified - OTY. PLUMBING PERMIT- ISSUE ,77.... QTY. MECHANICAL PERMIT- ISSUE 31 - SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 EACH BUILDING SEWER . OVER 100,000 BTU - SIGN PERMIT 01-00-00-8221 EACH WATER HEATER AND/OR VENT ' - BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 EACH GAS SYSTEM 1 TO 4 OUTLETS - BOILER/COMPRESSOR 3.15 HP - TOTAL PLUMBING .01-00-00-8222 EACH GAS SYSTEMS OR MORE . METAL FIREPLACE ELECTRICAL 01:00-00-8223 .Zt, EACH INSTAL.. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 / EACH VACUUM BREAKER , MECH EXHAUST - HOOD/DUCTS - MOBILEHOME 01-00-00-8225 WATER SOFTNER - RELOCATION OF EA FURNACE/HEATER . - MOBILEI-IOME PARK INSP EACH ROOF DRAIN (INSIDE) - - - SOLAR - v_ 01-00-00-8226 TOTAL MECHANICAL I TOTAL PLUMBING I . - STRONG MOTION 80-92-33-0519 , FIRE SPRINKLERS 01-00-00-8227 QTY. ELECTRICAL PERMIT- ISSUE -Z......... QTY. SOLAR- ISSUE PUBLIC_FACILITIES_FEE 32-00-00-8930 BRIDGE FEE NEW CDNST EA AMP/SWTtBKR 4._. COLLECTORS - SCHOOL FEE- DISTRICT I PH 3 PH . STORAGE TANKS . Carlsbad - 80-92-21-0519 EXIST BLDG EA AMP/SWT/BKR . ROCK STORAGE - Encinitas 80-92-22-0519 I PH 3 PH . PUMP - Sao Oieguilo 80-92-23-0519 RE MODE L.'ALTER PER CIRCUIT . PLAN CHECK FEE - - San Marcos - ' 80-92-24-0519 TEMP POLE 200 AMPS OVER 200 AMPS i , - . ' LICENSE TAX 01-00-00-8162, TEMP OCCUPANCY (30 DAYS) , . MFF 80-92-57-0519 - - , CREDIT DEPOSIT TOTAL ELECTRICAL , TOTAL SOLAR - TOTAL FEES PAYABLE 1 I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY Eepiralion. EverypetissuedbytheBuiIdingOIliciaIundertheprovisionsoIthis * AN OSHA P&T IS REQUIRED FORLCAVATNS OVER I Code shall expire b/limitation and become null and void It lIre building or work CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE authorized by such,iermjt is not cpeqonced 50" DEEP within 180 days from the date of such AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS I permit, or if the,.uiId,ig QL.'k futhonized by such permit is suspended or TR CTURES OVER ES IN HEIGHT ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON- or commencedwo is for a period 01180 days. STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S ATUR KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND 11117 E 0 CONTRACTO AP PRO VED Y - EPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHON 0 GRANTING OF THIS PERMIT. TYPE DATE. INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY--* GUNITE OR GROUT FLOOR & CEILING SUB FRAME SHEATHING 7ROOF EISHEAR FRAME a /9 /2jf --- EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO DIPLJCO UNDERGROUND 0 WASTE 0 WATER TOP OUT 0 WASTE DWATER TUB AND SHOWER PAN GAS TEST WATER HEATER 0 SOLAR WATER ELECTRICAL ELECTRIC UNDERGROUND 0 UFFER ROUGH ELECTRIC El ELECTRIC ELECTRIC SERVICE 0 TEMPORARY BONDING 0 POOL MECHANICAL DUCT & PLEM., 0 REF. PIPING HEAT - AIR COND.. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED FINAL PLUM QING ELECTRICAL, MECI-fANICAL GAS BUILDING "I SPECIAL CONDITIONS C - - - FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTONS - INS PECTION,CHECKED IF INSPECTOR'SLS DATE INSPECTORS NOTES REO. SOILS C9MPLIANCE -PRIOR-To FOUNDATION INSP OVER 2000 PSI STRUCTURAL CONCRETE I PRESTRESSED CONCRETE I POST TENSIONED CONCRETE S FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES CAISSONS I - PLAN CHECK NUMBER ___________ ADDRESS DATE PLANNING: TYPE OF STRUCTURE -. ZONE: - SCHOOL FEES: SAN DIEGUITO ENCINITAS CARLSBAD_______________________ SAN MARCOS_____________________ % COVERAGE REQUIRED SETBACKS______________ BUILDING HEIGHT__________________________ FENCES/WALLS TWO .CAR GARAGE___________ FRONT SIDE REAR LLJ ./ COMMENTS -,:;- hR. c= w LANDSCAPEPACCEH5_ EI AL. RFQ'U ED ADDITTONAL COMNENTS N 1 OK TO ISSUE:' - \DATE.: TG FINAL: / •..' DATE: ENGINEERING DESCRIPTION VERIFIED? __- .P.N. .CNCKED? P.F.F. )AK iN LIEU R 0 W.ROVEMENTS SEWER: 0 LATERAL: DRIVEWAY: - GRADING PERMIT: DRAINAGE:cc .EA E TETiI :iEEiE_ ADDITIONAL COMMENTS uj fW cc: [71 Uj OK. TO ISSUE: . . • DATE'. - * ENGINEERING INSPECTION REQUIRED PUBLIC WORKS INSPECTOR: FINAL OK: . •,= DATE: * IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTh1ENT WILL MAKE ALL INSPECTIONS (DRIVEWAYS, CURB CUT, DRAINAGE, ETC.) f-.IOOEL NO. BUILD G PERMIT APPLIC lION ' City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 7291181 Permit No.-7;' o. 2 lj4' JOB ADDRESS - ASSESSORS PARCEL NUMBER LOT NO, ELK TRACT r4CT Et5t BOOK PAGE PAR. OWNER MAIL ADDRESS ZIP PRONE CONTRACTOR MAIL ADDRESS STATE LIC. NO. CITY LIC. NO. j 1c, ?e J £ "P (7 2? 3 7223 X/5 9 ARCHITECT OR DESIGNER MAIL ADDRESS 4 'aMS - . LICENSE NO. ENGINEER MAIL ADDRESS 5 PHONE LICENSE NO. COMPENSATION INS. CARRIER MAIL ADDRESS 6 794IJ5 47 . BRANCH . It . USE OF BUILDING '' 64 i4C5 6 NO. BDRMS_________ NO. BATHS_________ 8 Class of work: LI NEW LADDITION LI ALTERATION L REPAIR LI MOVE LI REMOVE 9 Describe work: Z'.p jq ' erA,94 & — j 10 Change of use from Change of use to 11 Valuation of work: $ // PLAN CHECFEE $ / PERMIT FEE S — SPECIAL CONDITIONS: ./' Type of Const. Occupancy Group MICRO FILM FEE Size of Bldg. (Total) Sq. Ft. No. of Stories Max. 0cc. Load 7. Fire Zone Use Zone Fire Sprinklers Required Elves ONO, APPLICATION ACCEPTED BY) i'1a DATE / -1 I PLANS CHECKED BY ,JAPPROVED ..'. I F - ANCE BY - jb.A't No. of Dwelling Units - OFFSTREET PARKING SPACES: Covered Sq._Ft. On 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 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 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 PRESUrve GIV'€'AUTHOBITY TO VIOLATE OR CANCEL THE PR0tI JØANY OTHERSTAT OR LOC, .LAW REGULATING CONST UC ION OR 1HE PERFOR NC -0 CONSTRUCTION. .. LA. Special Approvals Required Received Not Required PLANNING DEPT. HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) ENGINEERING DEPT. WATER DEPT. 510 TUREOF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE _OF_ OWNER _(IF _OWNER _BUILDER) (DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATIOf CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH .-- -- TOTAL FEES $ #7 INSPECTOR .: . 'C - INSPECTION RECORD 7 -37S1" DATE REMARKS INSPECTOR FOUNDATIONS: SETBACK TRENCH REINFORCING FOUNDATION WALL& WEATHER PROOFING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING 0 MASONRY FINAL . 0 USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. .-.1 .. ELECTRICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces on/v. Phon 72Q-11R1 Dn, + M.. J:~)DRESS _ 31eyo 04. LEGAL DESCR OWNER LOT NO, K. T TRACT I (JSEE ATTACHED SHEET) 2 MAIL ADDRESS ZIP PHONE 'MAIL ADDRESS OS) JjL4j c(7 Oj PHONE STATE LIC. NO. CITY LIC. NO. / ARCHITECT OR DESIGNER MAIL ADDRESS 4 PHONE LICENSE NO. ENGINEER MAIL ADDRESS 5 PHONE LICENSE NO. ON INS. CAR ' MAIL ADDRESS BRANCH 6 (C 4 USE OF B DING — D 8 Class of work: P NEW D ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: (f PERMIT FEES SWIMMING POOL WIRING No. Each Fee SPECIAL CONDITIONS: NO INCREASE IN SERVICE NEW CONSTRUCTION FOR EACH AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER - APPLICATION ACCEPTED BY Bv APPROVEO FOR ISSUANCE BV 44, jPL,%F4.0ECKED iDATE NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE OR BREAKER 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. REMODEL, ALTERATION, NO CHANGE IN SERVICE, FOR EA. AMPERE OF Z,Z I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. TYPE OF WORK WILL E COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, TH 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. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS INCREASE TEMP. SERVICE UP TO AND INCLUD- ING 200 AMP. TEMP. SERVICE OVER 200 AMP. PER 100 SIGN A (iRE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ISSUANCE FEE TOTAL FEES (DATE) SIGNATURE _OF_ OWNER _(IF _OWNER WHEN WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH .. - . . .. . INSPECTOR 4, .4 INTERDEPARTMENTAL INFORMATION SHEET UILDING DEPARTMENT BUILDING ADDRESS:. x? 3 b 0 1; RECEIVED DATE: 17B 0 2 CITY OF CARLSBAD Building Department PLANNING DEPARTMENT ZONE LOT SIZE UNITS ALLOWED LOT WIDTH \ 9S.? 5- UNITS PROVIDED PARKING SPACES REQUIRED PROVIDED % COVERAGE ALLOWED PROVIDED BUILDING HEIGHT ALLOWED PROVIDED FRONT SETBACK: SIDE SETBACK: . REAR SETBACK: ALLOWED 10 PROVIDED. cc INTRUSIONS LANDSCAPE & IRRIGATION PLAN CO TS: ENVIRONMENTAL PROTECTION REQ: JrMT I9.OLi.Cc) ADDITIONAL COMMENTS: OK TO ISSUE: //7 DATE 777u OK TO FINAL DATE it ENGINEERING DEPARTMENT '-B' - 0 I f / Al R.O.W./"4INDUSTRIAL WASTE IMPROVEMENTS 0111A SEWER CONNECTION e 01A -. DRIVEWAY LOCATIONS__________________________ GRADING PERMIT EASEMENTS DRAINA,GE LEGAL DESCRIPTION I_t77 _ ADDITIONAL COMMENTS 4'1M1"_00, /,_I _. 7 O1 4-_sçe._i_ OK TO ISSUE: f..Q DATE 5-13117,9 TO FINAL DATE ( FIREDEPARTMENT SPRINKLING SYSTEM FIRE ALARMS FIRE PROTECTION EQUIP. EXITS FIRE HYDRANTS LOCATION ADDITIONAL COMMENTS OK TO ISSUE: DATE OK TO FINAL DATE . WATERDEPARTMENT REQU REM RIATE DISTRIC . MET DATE .UM5CE StALl. 35cc L'JM GR.ADE & S?EC! FOR TRUSS SPANS AS NOTED BELOW: (Douglas Fir rnev Sc s'jb:tt'.itcd where Hem-Fir is specIfied.) SD..STR. ONSNo.1 No. 1 ONS. No. 2 No.2 CONST. SEL.STR. No. 1 No. 2 CDNST. I.T!P: D"t:Ir..FiR r21V.F!p TXNIG.FtR D)IG.FR DOUG.FtR ftIG.flR titO.-FTR ttO(-FtR i-F1R F1t-flR TOP CHO1tD . P:HOM DNS.S..STRJ 24 -ti r. 2.l-ti 24 -Il 'W 8 2 31 0 2 0 I 24 0 2 1 E3 11313.S I ST.-'D;Ei, GRADE HIIN.FGI. 21 .2 HEN-FIR OR AS NOTED ON DESIGN NOTES; All b:octcg, trrpczy and permanent, to resist lateral rocco to be 2es1gned and provided by othrr. Desio aces lateral Sraci:g at maximum 3-b' o. c. Top u:d ar.d 1'-0 Suriom Cctd irtleas otimwire specified. laS Ioaouu Lateral Bracig as shown*. 7 WA DING DIAGRAM LL + DL /Roof 23 psf DL/Ceiling 10psf 0 - TO 24'-0" - SPACED 2'-0" o. c. 25TH 2T5# d 263# 3 >2__ b 3E clear uoan 1 1560# T d - 168 C FORCE IAGRAM In - 26 TC R-4x4.5 2x4 TC R-3. 2x4.5 4. 1" 12 4 or higher 110 Match 4x4. 5 . 2,4 . R-2. 4x5 (No Spl) Alt. Splice MIA Z' Symmetrical About Centerline CAMBER TO 1 /4" Fi! No: -T - 24 - 4 -'33 (4/2) Clae- 7!1 Re,.* Boa. By: M - . ' P.ONEL BARBGRIP CONNECTORS. 5000 Series r (indicated by the prefix A) are Of rme quatity galvanized sheet steel (20 gauge unless otherwise noted). POSITIONING: Plates shall be located on both faces of truss and shalt be placed so that centerlines coincide with joint centerlines unless otherwise noted. rRoNEL EARBGRIP SYSTEM 5 A R7-S-25-1 ----- Cit.8y:' DIGITS SDlCATE sIZE OF PLATEN INCHES. ----.— riForBacic DcsInVaiues SEE CEO—AR. .1469 . . -- I______ - -. . . --,_- _,-w-.--c.---..-.-. - - _-- -------•--- -_- - - ._.- -_ - . - - -.4.. - -- 1•' ••' --' . - I - DESIGN FOR TYPICAl. CAttLE END TRUSS Note: Vent blocks may be omttted R-2.4z4.5 where no vent is required - C R, W or equal 12 4 Varies 4x4 5 J R-2.4 4.5 Vurjs GARLE END TRUSS 2-16d nails Cutout for 2x4 laid flat Cutout for 2x4 laid flat cle 0. 16 dnii Is 2- 16d- nails Plate Line l\ add-on with c 8-d nail, at 2-16d flait / (I,v builder) on Stud Cutouts "Off Stud" Cutouts Details For 2N4 Outlookers - (;uble End Bracing ALL LUMBER TO BE: C' STANDARD GRADE IWM-FIR OR BETTER . Ee: GE I RONEL OARBGRIP CONNECTORS, 5000 Series it (indicated by the prefix A) are of POSITIONING: Plates shalt be located on both laces ol truss RONEL BARBGRIP SYSTEM 1/74 printe quality galvanized sheet steel (20 gauge unless otherwise noted), and shall be placed so that centerlin'es coincide with joint centerlines unless otherwise noted. 5-1 Des. BY:?d Ck. By: 4 DIGITS INDICATE SIZE O PLATE IN INCHES. tt For Basic Design Values. SEE I.C.B.O.—R.R. #1469 A "L COI/PAUY a F19 —5-71 -'cc' MECHANICAL PERMIT APPLICATION PERMIT #2'/'4 City of. CARLSBAD, CALIFORNIA Applicant to complete numbered spaces only. - JOB ADDRESS LEGAL 1DESCR.I I I LOT NO. BL I I j TRACT (SEE ATTACHED SHEET) OWNER MAIL ADDRESS 2 ,3 (1 - 300 ZIP PHONE 7 - 9— 7 2 I 9 CONTRACTOR MAI ADDRESS 5 vt _ PHONE LICENSE NO. 7 2 9_ 3 ARCHITECT OR DESIGNER - MAIL A'S 4 - PHONE LICENSE NO. -. - ENGINEER MAIL ADDRESS 5 PHONE LICENSE NO. N LENDER MAIL ADDRESS 6 BRANCH USE OF BUILDING 1 - - - --. - - 8 Class of work: I1EW I'3DITION Li ALTERATION Li REPAIR S . 9 Describe work: Type of Fuel: Oil Li Nat. Gas LI LPG. Li 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 Systems—B.T.U._Jgoao_M Ea-_Air APPLICATION ACCEPTEOBY: PLANSCHECKE08Y: APPROVED FOR UANCE 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 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 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 REGULATING CONSTRUCTION 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 - - - SIGNATUR"E OF CONTRACTOR OR AUTHORIZED AGENT (DATE) PERMIT $ TOTAL FEE $ AO SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR Form 100.4 9-69 REORDER FROM: INTERNATIONAL CON FERENCE OF BUILDING OFFICIALS 0 50 SD. LOS ROBLES 0 PASADENA, CALIFORNIA 911101 go PLUMBING PERMIT APPLICATION 5PAW PERMIT "7/... /(') City of CARLSBAD, CALIFORNIA -5-71 . Applicant to complete numbered spaces only. I4O.1** - *1 S C JOB ADOR ESS .23 0,0 cLit/ LEGAL 1DESCR. I LOT NO. I I BLK I TRACT I I (EJSEE ATTACHED SHEET) OWNER MAIL ADDRESS 2 2L/fre ZIP PHONE • CONTRACTOR MAIL ADDRESS PL. PHONE LICENSE NO, ARCHITECT OR DESIGNER MAIL ADRESS 4 PHONE LICENSE NO. ENGINEER MAIL ADDRESS 5 PHONE LICENSE NO. LENDER MAIL ADDRESS 6 BRANCH USE OF BUILDING 7 8 Class of work: D NEW 0 ADDITION 0 ALTERATION 0 REPAIR 9 Describe work: — — PERMIT FEES No. Type of Fixture or Item Fee SPECIAL CONDITIONS: WATER CLOSET (TOILET) $ BATHTUB LAVATORY (WASH BASIN) - - SHOWER KITCHEN SINK & DISP. DISHWASHER APPIL ATION ACCEPT 0 BY: PLANSCHECKEO BY: APPROVED FOR ISSUANCE BY: LAUNDRY TRAY CLOTHES WASHER WATER HEATER NOTICE THIS ERBECOMESNU LL AND VOID IF WORK OR CONSTRUC- TION AUT RIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF 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. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. URINAL - DRINKING FOUNTAIN CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A FLOOR—SINK OR DRAIN - - SLOP SINK - ____________________________________ GAS SYSTEMS: -NO. OUTLETS .....L iI ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER PIPING & TREATING EQUIP. HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT WASTE INTERCEPTOR PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING VACUUM BREAKERS LAWN SPRINKLER SYSTEM - - SEWER CESSPOOL SEPTIC TANK & PIT SIGNATUR OF CONTRACTO OR AU AGENT (DATE) \-SIGNATURE - PERMIT $ TOTAL FEE OF OWNER (IF OWNER BUILDER) (DATE) .....---- ........- --- :... THIS I VVI1tIl YIIOYEIILT VALIDATED tL1 iur I FII rMtI THIS U YOUR rt,iuviu i N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR 100.2 9-69 REORDER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS 0 5080. LOS ROBLES 0 PASADENA, CALIFORNIA 91101