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Home My WebLink About2409 LA PLUMA LN; ; 76-3156; Permit,m,W5l!f.SHH!.lU...iJUi. MODEL NO. Applicant to compiete numbered spaces oniy. BUILDING PERMIT APPLICATION City Of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 Peimit No. JOB ADDR ESS 2^ !A ASSESSOR'S PARCEL NUMBER ,LEGAL I DESCR. 131 ni (f~)SEE ATTACHED SHEET) PAGE MAI L AODRESS ifmUmmmmmm, 149 Uaim nm /m,, tm, SoSmm SmA, CM. mn O^m^ CONTRAC TOR MAI L ADDR ESS STATE Lie. NO. CITY LIC. NO. ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO. I Manic* IfiOl mm im, mupmet Smdk, Ou mm Cm-mU) C8295 ENGINEER MAIL ADDRESS LICENSE NO. ^rnxkm^iamaag, sm MRS li., SmWUm* Ou S213d 01-0767) Kmu COMPENSATION INS. CARRIER MAIL ADDRESS 6 Hi* mtHsrmm Silf IBS., 4^ mmkm WM., lm it^0lm, fX mm USE OF BU ILDING 7 I^Bg^ Cmdlf MfpamfH NO. BDRMS_ NO. BATHS. 8 Classofwork: KNEW •ADDITION •ALTERATION •REPAIR • MOVE •REMOVE 9 Describe work: iteldHltlal - MBABI 1S$ C 10 Change of use from Change of use to 11 Valuation of work: $ 'A/ y PLAN CHECK FEE $ -~— PERMIT FEE S ^ ^/f?^' "**^ SPECIAL CONDITIONS: ^ Type of —y. i j Const. jy^ Occupancy .-«--. „ Group / ,^ * MICRO FILM FEE Type of —y. i j Const. jy^ Occupancy .-«--. „ Group / ,^ * MICRO FILM FEE Size of BIdg. y-ji^ (Total) Sq. Ft./ig^TJ No, of Stories / Max. Occ. Load ' Size of BIdg. y-ji^ (Total) Sq. Ft./ig^TJ No, of Stories / Max. Occ. Load ' Fire Zone Use / , zone /t: -/ Fire Sprinklers . Required DYes Qflo APPLICATION ACCEPTED BY DATE PLANS CHECKED BY APPRq)?fi)j5«R ISSUANCE BY Fire Zone Use / , zone /t: -/ Fire Sprinklers . Required DYes Qflo APPLICATION ACCEPTED BY DATE PLANS CHECKED BY APPRq)?fi)j5«R ISSUANCE BY No. of d Dw/elling Units / OFFSTREET ...A Covered ^'"Ss PARKING SPACES: Sq. Ft. ''•>' } ^tOpen NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AlR 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. 1 HEREBY 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 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. Special Approvals Required Received Not Required NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AlR 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. 1 HEREBY 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 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. PLANNING DEPT. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AlR 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. 1 HEREBY 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 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. HEALTH DEPT. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AlR 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. 1 HEREBY 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 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. FIRE DEPT. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AlR 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. 1 HEREBY 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 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. SOIL REPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AlR 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. 1 HEREBY 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 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. OTHER (Specify) NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AlR 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. 1 HEREBY 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 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. ENGINEERING DEPT. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AlR 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. 1 HEREBY 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 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. WATER DEPT. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AlR 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. 1 HEREBY 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 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. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AlR 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. 1 HEREBY 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 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. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AlR 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. 1 HEREBY 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 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. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AlR 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. 1 HEREBY 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 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. SIONATURE or CONTRACTOR OR AUTHORIZED AGENT (DATEI SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) SIONATURE or CONTRACTOR OR AUTHORIZED AGENT (DATEI SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) SIONATURE or CONTRACTOR OR AUTHORIZED AGENT (DATEI SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERIMIT PLAN CHECK VALIDATION CK. M.O. CASH PERHfllT VALIDATION CK. M.O. CASH TOTAL FEES $. .:y^:y INSPECTOR LOT, ./j"^ BUILDING FOOTINGS ( FOUNDATION /o//Z~- REINFORCED STEEL MASONRY GUNITE OR GROUT SHEATHING FRAME jh/77 \d<> INSULATION / EXTERIOR LATH \ 11 (7/77—VyJ^ INTERIOR LATH & DRYWALL PLUMBING SEWER AND -Ph/CO fplyj^ WATER/^/^C." PLUMBING UNDERGROUND/94^/7<^ /U C COPPER /o/^A TOP OUT TUB AND SHOWER / ELECTRICAL UNDERGROUND CEILING HEAT BONDING MECHANICAL DUCT & PLEM, REF. HEAT—AIR VENTILATING SYSTEMS FINAL: PLUMBING PERMIT APPLICATION ^,s=.»....ro City of CARLSBAD, CALIFORNIA 92008 ^ ^ ^ Applicant to compiete numbered spaces oniy. PhOfie 729-1181 Permit Nn /fe --^-^ ^ JOB ADDR CSS ,LEGAL IDESCR. 136 ^AIL ADDRESS 2 MnniQSA BOHK « jLbO IteriJM TiMi* SolMltt BiM^* CSI CONTRACTOR MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO. 3 IC81B OOdTT nmmm OCmUStOm^mO v. IMiaftoa, IM« 743-^93 297*9«>7 UIZL ARCHITECT OR DESIGNER ^AIL ADDRESS LIC ENSE NO. .4AIL ADDRESS LICENSE NO. COMPENSATION fNS. CARRIER ^AIU ADDRESS USE OF BulLOtNG 8 Classofwork: XBlEW • ADDITION • ALTERATION • REPAIR 9 Describe work: PERMIT FEES No. Type of Fixture or Item Fes SPECIAL CONDITIONS: 2 WATER CLOSET (TOILET) $ J X BATHTUB 1 2 LAVATORY (WASH BASIN) 5 rOO 1 SHOWER 1 r50 I KITCHEN SINK & DISP. r» DISHWASHER APPLICATION ACCEPTED BY PLANS CHECKED BY APPBOVED FOR ISSUANCE BY-LAUNDRY TRAY 1 CLOTHES WASHER X »50 D AT E 1 WATER HEATER X NOTICE URINAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 OAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A DRINKING FOUNTAIN THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 OAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A FLOOR—SINK OR DRAIN PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY 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 SLOP SINK PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY 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 GAS SYSTEMS: NO. OUTLETS ? X »50 PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY 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 WATER PIPING & TREATING EQUIP. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT WASTE INTERCEPTOR PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pRnvisir>N<; np ANV nxHFR UTATF np i orAi i aw RFGUI ATING VACUUM BREAKERS CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. LAWN SPRINKLER SYSTEM SEWER NUMBER CLEANOUTS ^ CESSPOOL SEPTIC TANK & PIT ROOF DRAINS SIGNATURE dlfJCON T^AC TOR OR AUTHORIZED AGENT (DATEI ISSUANCE FEE $ 7 TOTAL FEES $ Xi SIGNATURE OF OWNER (IF OWNER BUILDER) (DATEI TOTAL FEES $ Xi WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERIMIT PLAN CHECK VALIDATION CK. M.o. - CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR ELECTRICAL PERMIT APPLICATION,, , City of CARLSBAD, CALIFORNIA 92008 ' ' -SI5*««"^7,t>0 Applicant to complete numbered spaces only. PhOfie 729-1181 Perm it No ' ^ JOB ADDRESS .LEGAL IDESCR. 7>aa (•SEE ATTACHED SHEET) OWNER MAIL ADDRESS ZIP PHONE CONTRACTOR 3 dMilpVt Sll MAIL AODRESS iMrtapljt flMmrffT* X43 tm III31BM» SW PHONE ^ STATE LIC. NO. riiMMiitii Gib iiSttMi^s xtiido CJTY_LIC. NO. XOI20 ARCHITECT OR DES 4 GNER MAIL ADDRESS PHONE LICENSE NO. ENSINEER 5 MAIL ADDRESS PHONE LICENSE NO. COMPENSATION 6 »|[|BlriNnit 1 INS CARRIER MAiL ADDRESS i^pittitit 2661 ittlafeiMi %m In PI^MB^ 90Q9f BRANCH USE OF BUILDING 8 Class of work: d^NEW • ADDITION • ALTERATION • REPAIR 9 Describe work: ^iiw'ti'tiMil vlxtaii vt wm wmA/hm SPECIAL CONDITIONS: PERMIT FEES SWIMMING POOL WIRING, NO INCREASE IN SERVICE No. Each Fee APPLICATION ACCEPTED BY: PLANS CHECKEO BY APPROVED FOR ISSUANCE SY NEW CONSTRUCTION, FOR EACH AMPERES OF 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 ISSUSPENDED OR ABANDONED FOR A PERIOO 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 ANO 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. SIGNATURE OF CONTRACTOR" OR AUTHORIMof*3ENT (DATE) NEW SERVICE ON EXISTING BLDG. FOR EA. AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE OR BREAKER REMODEL, ALTERATION, NO CHANGE IN SERVICE, FOR EA. AMPERE OF INCREASE TEMP. SERVICE UP TO AND INCLUD- ING 200 AMP. TEMP. SERVICE OVER 200 AMP. PER 100 ISSUANCE FEE SIGNATURE OF OWNER (IF OWNER BUILtfERF (DATE) TOTAL FEES xoo ^5 m WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH INSPECTOR mmm MECHANICAL PERMIT APPLICATION City Of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only. Phone 729-1181 Permit No. JOB ADDN ESS « CA ,UESAL I OESCR. ([ jsEE ATTACHED SHEET) MAI L ADDRESS ZIF nmm»m §m mmm CONTRACTOR Atr tm K. UAIL ADDRESS STATE LIC. NO. CITY LIC. NO. ntm mn ARCHITECT OR DESIGNER ^AIL ADDRESS LICENSE NO. MAIL ADDRESS LICENSE NO- AIL AODRESS nm mm, #1M stiM CA lewrs USE OF BUILDING 8 Classofwork: SINEW • ADDITION • ALTERATION • REPAIR 9 Describe work: HHNARI 4 IW^tilttW Type of Fuel: Oil • Nat. Gas U LPG. • 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 CHECKEO BY APPROVED FOR 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 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 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 He&ters-B.T.U. M Evaporative Coolers Clothes Dryers Ventilation Fan Range Hood Air Handling Unit-C.F.M. Incinerator SIGNATURE OF CONTRACTOR JDR t UTHORIZED AGENT A f ISSUANCE FEE «|CMATUIII OP OWMER IIP OWNER »UILOE») (DATE) 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 .1' W ,,i!»ll.i.l}I,l,l 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 with,,5ection 3800 j>f the California Labor Code. SIGNED PRINT NAME AND TITLE JOB ADDRESS DATED