HomeMy WebLinkAbout2412 LA PLUMA LN; ; 76-3198; PermitMODEL NO.
BUILDING PERMIT APPLICAJIOK ' «»
aty of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit Nn '71^^''c3/^^
JOB ADDR CSS
2412 La PltaM LaM, fwfiliaif, CA.
ASSESSOR'S
PARCEL NUMBER
,LEGAL
IDESCR. m KMdio ML taMienwft III ([ Is EE ATTACHED SHEET)
MAiL ADDRESS
2 PonlMwa Horn, 140 MBTIM VIW ite. #204, Selju IMC^, Ca. 9207S 7$S-97S6
CONTRACTOR MAIL ADDRESS STATE LIC. NO. CITY Lie. NO.
ARCHtTECT OR DESIGNER MAI L ADDRESS LICENSE NO.
I IMcmic, mx Warn St., nn, NMpMt Bmdi, Ca. nm 752-024 CS3IS
ENGIN EER MAI L ADDRESS LICENSE NO.
5 midk IBtt^mmriMg, 5628 Mns M., Sm mafa, Oa. 9211f 291-9787 HZH16
COMPENSATION INS. CARRIER .4AIL ADDRESS
BUM B^lfiym SaH hm., 4950 lUaiiiva BM., Loa m^Om, Ou 999S1
USE OF BUILDING
7 Sisgla iaaUy w/gamg* NO. BDRMS_ NO. BAT
8 Classofwork: S^JEW • ADDITION •ALTERATION • REPAIR • MOVE • REMOVE
9 Describe work: RBaidMltial - MA 124 A
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE S 7; ^ PERMIT FEE $ /y .A
SPECIAL CONDITIONS: Type of
Const. L'L^
Occupancy
Group
MICRO FILM FEE
APPLICATION ACCEPTED BY PLANS CHECKED BV
Size of Bidg.
(Total) Sq. Pty'^g'yQ
No. of
stories y-
Max.
Occ. Load
Fire
Zone
Use
Zone
Fire Sprinklers
Required nves €Mo "
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
No. ,
Covered
* f , iNo. Sq. Ft. y / yTOpen
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.
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.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
SIGNATURE OF OWNER (IF OWNER BUILDER)
Required Received Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $.
INSPECTOR
I
I
I
LOT / 7^/.
y2^/y^ )^!^^^^.
' ' kuiLDING
FOOTINGS I LO
FOUNDATION ^ ,
REINFORCED STEELV W..iy(i
lyiASONRY
GUNITE OR GROUT ^
SHEATHING I/ / f l?? ZA
FRAI4E y\ } jA^ lu-
INSULATION 2-.
EXTERIOR LATH
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND PL/CO ^4^4 WATER
PLUMBING UNDERGROUND /J/j/x: Aot/
COPPER to lur (-7^ Mu-^
TOP OUT • ' I 27 y 1^.
TUB AND SHOWER g/ I/S "} ^-U.l •
GAS TEST
ELECTRICAL
UNDERGROUND
ROUGH 't.\' 111
CEILING HEAT
BONDING
MECHANICAL ,
^ ' 77 J /
DUCT & PLEM, REF. PIPING /^i^ ^
HEAT—AIR
VENTILATING SYSTEMS
F INAL: ^
,4*„j-ii^.4ii|(l!l|pipijp|4^
tl'••& i. p. ir f. {..'/ - f i
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92CX)8
Applicant to compiete numbered spaces oniy. PhOflG 729-1181 Permit No.. " '
JOB ADDRESS
2412 lm. n.vm lmm, Cmrl^h^, CS
.LEGAL
1DESCR.
LOT NO.
171
MAI L ADDRESS
FCIB^3064 WXSES - W) Karlaa Viair, Soloaa Baaeh, CA 755-7377
CONTRACTOR MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO.
3 msm amm rtmrnmi (mmaxm-w^o w. i^ming^, lac. 74>-6i93 297-^7 11121 ARCHITECT OR DESIGNER MAI L ADDRESS PHON E LIC ENSE NO.
MAI L ADDRESS LICENSE NO.
COMPENSATION fNS. CARRIER MAIL ADDRESS
USE OF BLMLDING
8 Classofwork: SOIlEW •ADDITION •ALTERATION •REPAIR
9 Describe work:
PERMIT FEES
No. Type pf Fixture or Item Fee
SPECIAL CONDITIONS: 2 WATER CLOSET (TOILET) $ 3
1 BATHTUB I
2 LAVATORY (WASH BASIN) 3
1 SHOWER 1 3 1 KITCHEN SINK & DISP. 1 .50
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVE D f 0« ISSUANCE BY .
DATE
LAUNDRY TRAY APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVE D f 0« ISSUANCE BY .
DATE
1 CLOTHES WASHER 1 ,50
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVE D f 0« ISSUANCE BY .
DATE 1 WATER HEATER 1 .50
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR COrMSTRUC-
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 SAIVIE 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.
URINAL NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR COrMSTRUC-
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 SAIVIE 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.
DRINKING FOUNTAIN
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR COrMSTRUC-
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 SAIVIE 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.
FLOOR—SINK OR DRAIN
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR COrMSTRUC-
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 SAIVIE 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.
SLOP SINK
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR COrMSTRUC-
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 SAIVIE 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.
GAS SYSTEMS: NO. OUTLETS 5 1 .50
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR COrMSTRUC-
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 SAIVIE 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 PIPING & TREATING EQUIP.
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR COrMSTRUC-
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 SAIVIE 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.
WASTE INTERCEPTOR
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR COrMSTRUC-
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 SAIVIE 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.
VACUUM BREAKERS
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR COrMSTRUC-
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 SAIVIE 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. LAWN SPRINKLER SVSTEM
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR COrMSTRUC-
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 SAIVIE 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.
SEWER NIIMRER n FANOIIT.q 2 5 »yo
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR COrMSTRUC-
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 SAIVIE 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.
CESSPOOL
SEPTIC TANK & PIT
ROOF DRAINS
SIGNATURE OF CC^TWACTOR OH AUTHOBllED AGENT (DATE) SIGNATURE OF CC^TWACTOR OH AUTHOBllED AGENT
ISSUANCE FEE $ 7 .50
SIGNATURE OF OWNER [IF OWNER BUILDER) (DATE) TOTAL FEES $ 3f/ r5t'
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.o. CASH
INSPECTOR
• m^A^,|;-%,:,
Applicant to complete numbered spaces only.
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 ^
Phone 729-1181 permit No. / ^ y
,LESAL
1 DESCR.
LOT NO.
tin
BLK. TRACT
(•SEE ATTACHED SHEET)
OWNER
2 mB% i401
MAIL ADDRESS
htim Wm ht 9I« ItlW
ZIP PHONE
CONTRACTOR MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO.
ARCHITECT OR DESIGNER
4
MAIL ADDRESS PHONE LICENSE NO.
ENSINEER
5
MAIL ADDRESS PHONE LICENSE NO.
COMPENSATION INS
6 mmhm laatfj
C ARRI ER MAIL ADDRESS
BildUf £M IR
BRANCH
igiiMt Oiiif* 9099?
use OF BUILDING
8 Class of work: 1 ?NEW • ADDITION • ALTERATION • REPAIR
9 Describe work: 0, iMmg «f apt miilMi
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BV; PLANS CHECKEO BY APPROVEO FOR ISSUANCE SY
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
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.
^ 1 '.—. ' fA
SIGNATURE OP CONTRACTOR OR AUTHORIZED.AS^T
' 7>
(DATE)
SIGMATURE or OWNER (IF OWNER BUILDER) IDATEI
PERMIT FEES
No. Each Fee
SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER ; 2f 00
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 I 2.0 00
TOTAL FEES 27 00
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
. MECHANICAL PERMIT APPLICATION ^
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only^ PhOfie 729*1181 Permit No. ^ ^ / / ^
JOB ADDR ESS
2412 lm Ptwa hmm, Cmstlahmd, CA
, LEGAL
1DESCR. t7l (QSEE: ATTACHED SHEET)
MAI L ADDRESS
HKimvmmm mmm im Maria* vim mm.ilOk SoUna MmHk, CA 92mS 27S^tS2
MAI L ADDRESS ^ CON TRAC TOR^^^^ AI^ iStS H« Cufmmm El Cajon CA 4^8011 STATE LIC. NO. p CITY LIC. NO.
ARCHITECT OR DESIGNER MAI L ADDRESS LICENSE f^.
MAIL ADDRESS LICENSg^.NO.
MAIL ADDRESS
fmmmrmm mmm 140 mrltm Vlaw turn. #104 Salina Saiaeti C4
USE or BU ILDING
8 Classofwork: CiNEW •ADDITION • ALTERATION • REPAIR
9 Describe work: Haatta«
Type of Fuel; 011,1-1 Nat. Gas
PERMIT FEES
LPG. •
SPECIAL CONDITIONS: No. Type of Equipment Fee
Air CondC'Unlts-H.P. Ea.
Refrigeration Units-H.P. Ea.
Boilers-H.P. Ea.
Gas Fired A.C. Units-Tonnage Ea.
4^«e-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 Heateri-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 Hefaters-B.T.U. M
Evaporative Coolers -^ao-
Air Handling Unit-C.F.M.
Incinerator
SIGNATURE OF CO>ITI^«tTOR OR AUTHORIZED AGENT OR AUTHORIZED AGENT / lOATEl
ISSUANCE FEE
yiCNATURE or OWNER {IF OWNER BUILDEW) 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