HomeMy WebLinkAbout203 SEA BREEZE DR; ; 69-M2; Permit"PPLl<::ANT TO COMPLETE
PORTION WITHIN HEAVY
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PROJECT NAME
PROJECT LOCATION
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Department of Housing and Community Development
Division of Building and Housing Standards
APPLICATION FOR PERMIT TO CONSTRUCT
BUILDING-PLUMBING-ELECTRICAL
PROJECT ID#
S OL ~ (YJ t4:il, /)Jo f?:d L E F5 Ta T £..:5. DESCRIPT~t'2@~9W::'J~j<zzzT• u ... t .. .) -.
OWNER . // 1-. 11/J ~. U A/C.c:-,G J p l)._A_,~t
ADDRES!.'d C, 3 s e A: B e E £ :;z.. I::: J)/2.. / >
CITY<Z A-/2.LS ~ Ai) I 11 ).,u.../JtJ..~
APPLICANT ll-1 "'9c,u AJ ,!__ Al& • _:t:_-).) C I ('I~.1vb~',{_ >
STATE LICENSE NO ,-d??tJ ,2 79 C7G / V
EMPLOYEE 0 AGENT 0 CONTRACTOR 0 PRIOR LOCAL APPROVAL
RELATIO N TO OWNER
l hereby ackno,rleclgo that the lnform,t!on I ho,e pro1ided is correct and agree that all
construction shall be ln accordance with applicable pro,·lsions or the health and ,arety code FIRE DEPARTMENT □ and related rules and regulations or the State or Callfornia, aad -on bchalr of the owner. I □ herewith consent lo all necessary Inspections incident to the ):mce or th!< permit. HEAL TH DEPARTMENT
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· STRUCTURAL ,6 (J '.} OTHE R □
GROUP A-t. SQ. FT .:::--;: R'VAL ?) 2) e... ,-
TYP"" BHS ELECTRICAL BHS
• USE USE
TYP"" G ROUP. SQ. FT VAL.. NO. ITEM FEE
NO. OF STORIES TOTAL VALU ATION OUTLETS
BHS FIXTURES. L.AMPHOLDERS
USE ½ HP MOTORS
BUILDll'lG PERM IT FEE
½ TO Z H P M OTORS
BUILDING PLAN CHECK FEE KVA TRANSFORM E R
~ PL~MBlNG KVA TRA NSFORM ER
BHS
USE KVA TRANSFORM E R NO . ITEM ,-EE
TRAPS M ERCURY ARC LAMPS AN D EQPT. -
SEWERS INCANDESCENT ELECTRIC SIGNS
TRAIL ER OR MOBIL EHOM E
CESSPOOL S LOT EOU I PM ENT
P RI VATE D ISPOSAL SYSTEM MAIN SERVICE
'
GAS REGUL ATORS
G AS OUTL ETS ISSUANCE FEE
W ATER SYSTEM ELECT RIC AL PERM IT FEE
R EPAIR. ALTER DRAIN ELECTRICAL PLAN CHECK F EE
OR VENT SYSTEM DATE
TOTAL PERMIT FEE 2 7 ov
L AWN SPRINKLER SYSTEM -~ c:-PLAN CH ECK FEE 6u
(MINIMU M $10.00) I/<-~ 0 ,:; TOTAL F EE
PL AN •CHECK FEE IS DUE W ITH APPL ICAT ION AND IS NOT REFUND-
ABLE. FEE IS SUBJ ECT TO V ERIFICATION BY TH'E ADMINISTRATIVE
AUTHORITY. COMPLETE PLANS AND SPECIFICATIONS SHALL BE SUB-
I SSUANCE FF.E MITTED W ITH EACH APPLICATION.
THIS IS II CONSTRUCTlml PERMIT WHEN COMPLETED, SIGNED AND RECEIPTED.
PLUMBING PERMIT F EE ' ~
PLUMBING PLAN CHECK FEE BUILDING PERMIT EXPIRES
EXTENSION GRANTED
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DIVISl/4APPROVAL /2-..-: / ( o/1/.?: -;--.__
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D -'TE OISTRJCT REPRESENTATIVE AffrkA SUl-"£RVISOR I OATF/ . I .--
' .. ' I M I SP HCO !IOIA t REV. 1'> 67) U H l ,, 0 17 0 (D ~ 0
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DATE __ 0_,_,/_-_+-;;:_,__...____,; __
TRAIL. P. P. -1
CUSTOMER NAME ~~~~.:::::......:V.!......,_, ~~l#Jl~~:::_
CUSTOMER ADDRESS~--=--.....--:-~._______,,_---+.---+-
S PACE NUMBER
CITY
ENFORCEMENT ;GENCY G Lti?~~
DEPARTMENT OF BUILDING AND SAFETY
MOBILE HOME
P/L
OF CAR SBAD
►~i ing Depa ment
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STl:.c~T s ,~g• J.'f ~/;, I --¥-1 ✓ACA ' -'IV" \,
STREET LOT NO.
NAME OF PARK _ ___c~.:....._· _.:;_.c:........::;.....::c..i.«~:;,::__ __ ---1,L.µ7t __ 24_~_u_._1_
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_/_0_i --i.1~,'-i~_r __
PARK MANAGER'S AUTHORIZATION TO INSTALL _____________ / ____ _
NOTE:
PARK MGR'S SIGNATURE£~, lJ~u
PARK BUil T PRIOR TO I 0-16-65 Yes _No_
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