HomeMy WebLinkAbout2554 STATE ST; ; 77-7118; PermitMECHANICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No ? 1-7 j/f
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OWN tlll , MAIL ADDIIIESS
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ENGINt:.tlll MAIL AODIIIESS
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..J.l'JIP A MAIL AOOIIIIESS
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use o,-BUILDING
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8 Class of work: □NEW 0 ADDITION ~ALTERATION
9 Describe work: r /}"5, 1:,// /1.,J('t.,J
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY -;u.J: APPROVED FOR ISSUANCE BY
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 ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE ANO 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.
C(1GH.,A'l"tiJ1& or CONTIIIACTOIII 0111 AUTH0-,:1zc0 AGENT (DATE.)
•1cw.a.Tuar OP' OWNER IP' OWNER IUll.01:llt OAT[)
tOscc ATTACHED SHtETl
ZIP PHONE
STATE LIC. NO,
LICENSE NO,
PHONE LICENSE NO,
0 REPAIR
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
J Wall Heaterl>-B.T.U. ~ ',;' 00() 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
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O .
INSPECTOR
CITY L IC, NO,
Fee
$
s ._,; t .. -
$
CASH