HomeMy WebLinkAbout2858 CARLSBAD BLVD; ; 79-140; PermitJ TL
MECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. PhOflG 729-1181 Permit No.
JOB ADDR ESS
* "** LOT NO". BLK TRACT
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OWNER / 1 -' r, MAI L ACUDHESS zie PHONE7 Rfv u FV , <i * 'A Jft y11' 1 i f 1 1 y t (, *•*/*£"
CONTRACTOR MAIL ADDRESS PHONE STATE LIC, NO. CITY LIC. HO.
A«eHITECTT>R DM1&NER MAIL ADDRESS BHONE LICENSE NO.
4 \J
ENSINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS BRANCH
6
USE OF BUILDING - ^
VSQ X - 1 h, f r O I . c vi -f ~f tf \'
8 Class of work: D NEW D ADDITION ^ALTERATION D REPAIR
^
9 Describe work: * . 1 i\f . \ A \ *s| JiJu^u - AVKAA/ JL^Uc^ ^ \l\t f^yxA/!M^L4rVXV^£^\
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SPECIAL CONDITIONS:
APPLICATION ACCU>TEDBV PLANS CHECKED BY APPROVED FOR ISSUANCE BY
/ / /-o-O-X/'
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.
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 REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
^AA*r\ \ IM/^ kil-S^
SiaNAT*4"E OF CONTRACTOyOlN^y TM»riED ACCNT ' (DATCI
SIGNATURE OF OWN EH (IP OWNER kUILDCM) (DATE)
Type of Fuel: Oil D Nat- Gas D LPG. D
PERMIT FEES
No.
#
Type of Equipment
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.
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
$£
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Q£T
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WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT '
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR