HomeMy WebLinkAbout2382 CAMINO VIDA ROBLE; K; 79-4689; PermitMECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
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JOB ADDR ES9 7 *;
2392 Ctedao Via feU* "K»
LOT NO. BLK TRACT
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1 DCSCR.
OWNER P^ir^MLjd V-*-'V *" MAIL ADDRESS IIP PHONE
2 ^InHMLlMM 23«2 Cmdso Via aobla IT, Qurlrfa.*, CK. 92006
CONTRACTOR MAIL ADDRESS
3 ^ffiORNQDHK CUMOKKTIAJR P* O» **OK 789r SW
PHONE . STATE LIC. NO. CITY LIC. NO.
MUGOB, OU 757-2720/0*4405 ^ 17064 >~^
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
6
USE Or BUILDING
7 GbMMuociaX
8 Class of work: UftlEW D ADDITION D ALTERATION D REPAIR
SPECIAL CONDITIONS:
A
APPL1CATIO*f/CQWT£D BY PLANS CHECKED BY APPROVED FOfl ISSUANCE BY
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.
1 HERESY CERTIFY THAT 1 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 SPECIFIEDHEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
ff^^f^f^f^^~'-^f~ -~3^-^\f\tfffatff r CJ " " ' * /• ^HAfuNE OF CONTRACTOR OR CutpORIZCD ASENT (DATE)
• ICNATURE OP OWNER IIP OWNER BUILDEN) (DATE)
Type of Fuel: Oil C3 Nat. Gas D LPG.^D
PERMIT FEES
No.
1
Type of Equipment
Air Cond. Units-H.P. Ea. 2
Refrigeration Units-H.P. Ea.
Boilers-H.P. Ea.
Gas Fired A.C. Units-Tonnage Ea.
Forced Air Systems— B.T.U. M Ea.
Gravity Systems- B.T.U. M Ea.
Floor Furnaces- B.T.U. M
Wall Heaters- B.T.U M
Unit He&ters-B.T.U, M
Evaporative Coolers
Clothes Dryers
Ventilation Fan
Range Hood
Air Handling Unit- C.F.M.
Incinerator
ISSUANCE FEE $
TOTAL FEES $
Fee
S <f
"2.
£>-t
WHEN PROPERLY VALIDATED (IN THIS SPACE) TH« IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR