HomeMy WebLinkAbout2525 JEFFERSON ST; ; 72-1192; PermitI 4 ...• , . - •, --
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BUILDING PERMITAPPLICATION
PermitN- -V -City dfCARLSBAD, CALIFORNIA, 92008 .
App/icJo on/v.', Phone 729-1181 i.
JOB ADOR ESS - V V -'.• o
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CONTRACTOR ' . . A1t"DDR tV4V SHV •V IH o ' " l. ' SE O
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LICENSE NO. .4
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ENGINEER M A' b D'B ETS V•4 - II V* 4-P WE4-V_V tIc ENS E" O
LENDER " Vt AIL&dORESS 4' — BRANCH
6 )1 14T%iBAC USE OF BU I'tDi'N'G' 4- '.' - 557
71 ..4•
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8 Class of work 0 ADDITION 0 ALTERATION El REPAIR U MOVE 0 REMOVE
9 Describe work:I
10 Change of use from
- .-• . _-
Change of use to .
t' V.. l
.. 1 ..•
11 Valuation of work:$
V PLAN CHECK FEE
SPECIAL CONDITIONS: 00 Typéof .
COflSt. ¶f7- ,•
Occupancy
Group -- Division V .
- V - V 5 - .4 V .5.44 . V. • Size of Bldg.
(Total) Sq.
No. of -
Stories
Max. V 0cc. Load
Fjre
Zone
V7
Use
Zone
Fire Sprinklers
Required Elves UN0 APPLICATION ACCEY:
V
PLANS CHECKED BY: )F.
' / i,'Y .
APPA0VCDFO IANCE BY:
. 4- V
-
. . • OFFSTREET PriNG SP ES:
/f No. of
- Dwelling Units Covered 9tO*covered p%
I , NOTICE V - Special Approvals4 Required 1V"ieceived Not R,ired
.SEPARATE PERMITS 'ARE REQUIRED FOR ELECTRICAL, PLUMB- ZONING
ING, HEATING, VENTILATING OR AIR CONDITIONING. 44 V
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- HEALTH DEPT
.
. V
FIRE DEPT. V TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS;' ORIF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED:FOR A SOIL REPORT V
PERIOD OF, 120 DAYS AT ANY TIME. AFTER WORK IS COM- OTHER (Specify) MENCED. - . . , . 4 .
I HEREBY CERTIFY THAT IHAVEREAD ANDEXAMINED 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, THEGRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL'LAW-RGULATING
CONSTRUCTION OR THE PERFORMANCE,.-OF CONSTRUCTION.
SIGNATURE OF CONTRACTOR1OR AUTHORIZED AGEr414__. /(DATE/
J.
. 4 V I • , .
. SIGNAIURE OF -OWNER hF OWNER BUILDER) (DATE)
PLAN HECK VALIDATION
VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT, - '• -- .4 -
CASH PERMIT VALIDATION .CK 'M.O. CASH
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INSPECTOR
I b.
INSPECTION RECORD b7 -Ii:
• DATE REMARKS INSPECTOR
FOUNDATIONS:_ -
SETBACK
0 •
TRENCH .7. . .-. - .
REINFORCING
-- -FOUNDATION WALL
çWEATHERPROOFING.
- ;- ;
CONCRETE SLAB . . ,. - 0,, - '
0 0 .:' - - __; .._: -
.iAA1AING :-. - .- - -', .. -• ,
INT. LATHING ORDR'?WALL'
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EXT. LATHING - •
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S MASONRY".
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ASONRY
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'13 I ING PERMIT APPL1CATI O 11
' f/ tofCARLSBAD, CALiOANIA9OO8: ,
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; .App/icáhtto 'complete number dsp.cesonIy. -' .-Phone 7291i81 .' . -.
JOB ADDRESS °
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OWNER , . MAILAODRESS ZIP -. PHONE * C
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TRACTOR- • .J . MAIL ADDRESS , • . PHONE LICENSE NO. - .
2,c I
ARCHIT'EC'T ORDESIGNER..--i. •MAIL ADDRESS 'PHONE LICENSE NO.
*4 Ftn* 1V P. ENGINEER W' MAIL ADDRES PH&SIE - - LICENSE NO
ft4 ssra* OW 7OR41 LENDEI? . . . . MAIL ADDRESS
- .- 5 6
- - BRANCH •- -
. I - .-..., y4 .. -vs - fl . fl - USE OF'BtIitDING " . --- •-; - -. - ••f - - - . .
7 , - . •• - - •f V .V_ . -r -
8 1CIass f work ,N'W 0 ADDITION fl ALTERATION 0 REPAIR U MOVE U REMOVE
9 Describe work
,1 -
•.•
I
10 Change of use from
Change of use to
;11' Valuation of work: $
-.
V5f23o0 -. PLAN CHECK FEE 0 PERMIT 4
SPECIAL CONDITIONS: . . . - • •: - Type of f -
Const.j
Occupancy • I -Group . Division •
'
- -
-' Size of Bldg. -
(Total)Sq.Ft3.
No. of
Stories _, Max.
0cc. Load ,/4 _- ---. _., __-- _•
-- Fire .
Zone
Use - - .' .
Zone - -
Fire Sprinklers -
Required EJc's UNE APPLICATION ACCEPTED BY: PLANS CHECKED-8Y - - APPROVED FOSSUANCE BY
QFFsTRE T PARKiNGSPACES q Dwelling UnIts Covered z) _ Jncovered
_OT ICE • -
Special Approvals -Required Received Not Required
ZONING - :'SEPARATE PERMITS-ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR-AIR coNDITIONING:
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- HEALTH DEPT
FIRE DEPT. . ••S.- --
___________ TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS,'OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT ,., V -.
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- OTHER (Speclfy); MENCED. - . . -. I
1.HEREBV CERTIFY THAT IHAC'ETh?AD AND EXAMINED THIS - . '*L i -__•i-.- I APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.._-- ALL- PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS I . - • .1 TYPE OF WORK WILL BECOMPLIED WITH WHETHER SPECIFIED
' • - _ .-. - .
V HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORlTYTO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAJIL'AW REGULATING . - - ' . V V
-CONSTRUCTION OR THE PERFORMANCEOF C1STRUCTION.
SIGNA.TURE?'OF_CONTRAC)OROR_ AUTHOR Izto'AItr)?L__(DArE)1/'? _-' -
-
SIGNATUREOFOWNER(IF_OWNERBUILDER) _I (DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE)THIS IS YOUR-PERMIT
PLAN CHECK VALIDATION CK M.O.CASH PERMIT VALIDATION CK m.6.' CASH
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INSPECTOR
-
- INSPECTION RECORD. -
DATE . - REMARKS INSPECTOR
FOUNDATIONS: I T K
SET BACK*- -
TRENCH TRENCH
REINFORCING -:
FOUNDATION WALL & . - - - •
J. -; WEATHER PROOFING
! • • - - -. . . - - CONCRETE SLAB . • - -
- -
FRAMING
JINT LATHING OR DRYWALL
EX-T. LATHING
-'MASONRY.
FINAL
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Signed
SEND PARIS 1 AND 3 WITH CARBONS INTACT.
PART 3 WILL BERETURNED WITH REPLY.
7'og 2/6o00
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DUPLICATE Signed -
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BUILDING PERMIT APPLICATION
Permit No '- //'2 qitY of CARLSBAD, CALIFORNIA 92008
Aoalicant to comolete numbered soacis c'r,i. . .. Phone 729-1181
JOB AODRESS o L
flTIAM1,1't1 f4'Vttin (R,fldi3 mij4TT Z 03
LEGAL 1 DE5CR.
LOT NO. BL . TRACT
(cJSEE ATTACHED SHEET)
tra
OWNER MAIL-ADDRESS - ZIP PHONE
2 -im othi K CONTRACTOR MAIL ADDRESS ' PHONE - LICENSE TO.
7flD Mil& Pt fltn rnnt
ARCHITECT OR DESIG4ER MAIL ADDRESS '. PHONIE~r' ' L1NSE NO. '.........
cont .80th
ENGINEER - MAIL ADDRESS PHONE' LICENSE NO.
r— nrl'im tt ntwtpi st. ct,eL
LENDER MAIL ADDRESS - - BRANCH
6 ,i
USE OF BUILDING , '• /•
1
,- •-.. . ,.
8 Class ofwork: 0 ADDITION 0 ALTERATION 0 REPAIR LI MOVE 0 REMOVE
9 Describe work:
10 Change of use from
Change of use to
11 Valuation of work: $
PLAN CHECK FEE j 7PERMITFEES#4 /
SPECIAL CONDITIONS: Type of
Const. /.)
Occupancy
Group
I,
Division
Size of Bldg. -
Sq. Ft3'3 (Total)
No. of
Stories '.
Max.
0cc. LOad
Fire
Zone
Use
Zone -
Fire Sprinklers -
Required Lives ENo APPLICATION AjPTEDBY: PLANS CHECKED BY' .... APPROVED FOR IS5UANCE BY:
OFESTREET PARKING SPACES:
Dwelling Units Covered ) Uncovered .49
NOTICE' Special Approvals Required ' Received Not Required
ZONING SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- HEALTH DEPT
FIRE DEPT. TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
SOIL REPORT CONSTRUCTION/OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. / OTHER (Specify)
I HEREBY CRTIFY 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
Ile HEREIN OR NOT, THE GRANTING OF APERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCALI(AW...R-E.GULATING CONSTRUCTION OR THE PERFORMANCE OF ONSTRUCTION.
SIGNATIIRE'OF CONTRACTdRIORAUTHORIZDAGtNT tOATE) ( '- /
SIGNATURE OF OWNER (IF OWNER BUILDER) (FA TE) ___________ •
CASH
A
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
1 - v.-. .... .1. • •. V -.
INSPECTOR
- DATE -, REMARKS ..JNSPECTOR
FOUNDATIONS: , .,
SET BACK
- -.
TRENCH - -. - -
-
- REINFORCING -
FOUNDATION WALL& ;
WEATHER PROOFING
- - CONCRETE SLAB
--i -
FRAMING
• • INT. LATHING OR DRYWALL - - •
I •-• -
EXT. LATHING - .
_____________
MASONRY. - - -
FINAL
1
J - INSPECTION :
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OWNER .W1*'W , MAIL ADDRESS-S '. • ZIP. PHONE .7' -
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CON TVAtTO ' 'W L 140 ft5t ) NO.
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LENDER*8 "' MAIL' AD1RESS" ""$- "• - " BRANCH -
6 . •- - - . - ._ .
USE &V'RILOflG ,''
-. .. •.:-.-- I - :. • .. .
- .1
8 Class ofworI' DNEW 0 ADDITION L] ALTERATION 0 REPAIR El MOVE El REMOVE
9Describework:
10 1Changeof use from
I Change of use to • . . . -
11 Valuation of work $ 9 ç PLAN CHECK FEE 0 PERMIT FEES
SPECIAL CONDITIONS: Type of
Const. 'N JJ Occupancy
up /'( Division
Size of Bldg. No. of Max. Z (Total) Sq. Ft. Stories ' - 0cc. Load 5.
Fire
Zone
Use
Zone
Fire Sprinklers
Required Elves ONo APPLICATION ACCEPTED BY: PLANS CHECKED 8Y: APPROVED FOR ISSUANCE BY
PACES: OFFSTREET PANG
- 7 - No. of l- -
Dwelling Units Covered ..ç' Uncovered 2-
NOTICE Special Approvals Required ' Received Not Required
SEPARATE PERMITS ARE REQUIREDFOR ELECTRICAL, PLUMB- ZONING
ING, HEATING, VENTILATING OR AIR CONDITIONING,
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- HEALTH DEPT
-
FIRE DEPT.
..
.' • TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
SOIL REPORT -CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- OTHER (Specify) . I MENCED. -.
HEREBY CERTIFY THAT I HAVE READ ANDEXAMINED 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 . .. - _I
-
- . •-'
-
. - 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 L1W.REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
.S41,1A7URE OF'CONTRACTR OR AU1HOR1ZEOAGENT - lDArEl -- 91 - -.
1' __________ _________ _________ _________
SIGNATURE OF OWNER (I F OWNER BUILDER) )DATE)
' ç
M.
. .. I , •''• 'I , , , I -I.
"I
BUILDING PERMIT APPLICATION
"Permit City of CARLSBADCAUFORNIA 92008
Applicant to complete number'eJ1spaces 0n1' Phone 729-1181
WHEN PROPERLY VALIDATED (IN THIS SPACE)1THIS IS YOUR PERMIT,
PLAN CHECK VALIDATION K M.O.CASH PERMIT VALIDTION K MO -_CASH.
INSPECTOR
j
' INSPECTION RECORD
- ----. - -
- DATE REMARKS
FOUNDATIONS:
SETBACK
TRENCH
REINFORCiNG - -
- FOUNDATIONWALL &'.
WEATHER PROOFING -
CONCRETE SLAB S
FRAMING
INT. LATHING OR DRYWALL
-
EXT. LATHING
P 1
MASONRY -
- - .
- -
--
FINAL
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
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/ELECTRICAL PERMIT APPLICATION I
Permt ________
City of CARLSBAD, CALIFORNIA 92008 ,
Applicant o compi e number d spaces only. .. Phone 729-1181 . p
JOB ADDRESS ,..
LOTNO.Lk
PE
,. (DSEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE 1• '
ç3N TRAJ2' W IL ADDRESS PHONE /o9 33
f/DJ4iAAi ZQ/7' t2 J w c,/
AKIN
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ARCHITECT OR DESIGNER MAIL ADDRESS . f LItENSE NO. •'
N
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
•
LENDER - MAIL ADDRESS - ' , - BRANCH -
. /
USE OF BUILDING :
,
8 Class ofwork: NtW'TJ ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:'
- -
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
0
ISSUANCE OF EACH PERMIT
NEW CONSTRUCTION, .FOR EACH
AMPERES OF MAIN SERVICE, SWITCH, APPLIcArIoNAccE EO' PLANS CH £ BY: ISSUANCE BY: FUSE OR BREAKER
/—/4
NEW SERVICE UNEXISTING B'LDG. _________________ FOR EA. AMPERE OF INCREASE NOTICE IN, MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- OR BREAKER
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- REMODEL, ALTERATION, NO CHANGE
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS INCREASE
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 ' TEMP. SERVICE UP TO AND INCLUD-
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PER 100 . .-. TEMP. SERVICE OVER 200 AMP.
X., 4 xo~; vf
,.'5IGNZTUE OF cNTACTOR OR AU'THORI'ZEb AET (DATE) . -
MINIMUM PERMIT FEE
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) - - • - .
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION cK. M.b. CASH PERMIT VALIDATION CK. M.O. CASH
-- - .-.-•- _._,__•_i•__ --.•.•
INSPECTOR
IL'
It
/PLUMBING PERMIT APPLICATION 21L5O
Permit No. _? City of CARLSBAD, CALIFORNIA
Applicant to complete ñumberecl spaces only. V
JOB ADDR ESS
M'5 C. 17 z
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CD
DESCR EGAL.
LOT NO. J/ ,./ ft-
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TRACT11, BLK
(LJSEEATTACHED.SHEET)
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OWNER MAIL ADDRESS
2
ID /J/t-ijcJ r
ZIP PHONE
CONTRACTR ' MAIL ADDRESS 7" PHONE LICENSE NO. 3j
D /V IL 4,,,
ARCHITECT OR DESIGNER - MAIL ADDRESS / PHONE LICENSE NO.
1 I j,.Jr/' .
ENGINEER 14A1L ADDRESS V
tt PHONE LICENSE NO. -
LENDER . MAIL ADDRESS
6
/
BRANCH
ç
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USE OF BUILDING
8 Class of work: 2W D AUDITION 0 ALTERATION 0 REPAIR
41
9 Describe work: .
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONDITIONS: WATER CLOSET (TOILET) 3
BATHTUB
_2... LAVATORY (WASH BASIN) /4'
SHOWER
KITCHEN SINK & DISP. / ;_•
________________________________________________
-- if DISHWASHER
APPLICATION ACCEPTE BY: PLANS CHECKED BY: APPROVED FOR ISSUANCE BY: LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER —
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.
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
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
/
URINAL
DRINKING FOUNTAIN
R FLOOR—SINK DRAIN 0 — — — —
SLOP SINK
ti —L-- GAS SYSTEMS: NO. OUTLETS ____________________________________ —
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
WATER PIPING & TREATING EQUIP. 7
'
-
WASTE INTERCEPTOR ______________________________________ — —
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPT I TANK & PIT
'SJ.GNATURE OF CONTRACTOR ORAUTHORIZED
PERMIT $
TOTAL FEE $ 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
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MECHANICAL PERMIT APPLICATION —
Perm it No 73 _,ioy City of CARLSBAD CALIFORNIA 92008
Applicant to complete numbered spaces only - Phone 729-11 81\
JOB ADOR ESS
5 sr-/-// c'
1 DESC B.
LOT NO. LEGAL .•
1:-BLK T'AfY (3JSEE ATTACHED SHEET)
OWNER. - MAIL ADDRESS ZIP - PHONE
COA .KL AIL -PHONE'LICENSE NO.
14ÔNE - ARCHITECT OR DESIGNER MAIL ADD LICENSE NO.
.,
.
ENGINEER MAIL ADDRESS
- -..
PHONE LICENSE NO.
.LENDER - MAIL ADDRESS - BRANCH . L
USE OF BUILDING
8 Class ofwork NEW ADDITION DALTERATION REPAIR
9 Describe work- A,'
I
Type of Fuel: Oil D Nat. Gas El LPG. D
PERMIT FEES
SPECIAL CONDITIONS: . I' 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 Sstems—B.T.U. M Ea.. .- - -
APPLICATION CCEPTEDBY:1
•
PLANS CHECKED BY.: APPROVED SUANCE
.
GrãvitySystems—B.T.U. qtyr> M Ea.' .:-47 ___
Floor Furnaces—B.T.U. M
' .Wall Heater—B.T.U. M
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
lION 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.. ' 1, HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. WALL 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.
OFCONTRACTOR OR AUTgORIZED AGENT I I (DATE/ ..,.
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