HomeMy WebLinkAbout2633 STATE ST; ; 79-41; Permit• fl I
MECHANICAL PERMIT APPLICATIONI 119
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City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 Applicant to complete numbered spaces only Permit No -7r:;:,_ q /
JOit ADDI" [55
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CON Tfl!AC TOR MAIL A.DORESS
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A.-:CHITECT OR DC.51GN[R MAIL AOOftESS
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EHGINEC"I MAIL ADDRESS
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LltNOC.R M,t,IL AOOIIIIES5
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USE 0" 9 UI\ .. DING
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8 Class of work : □NEW 0 ADDITION 0 ALTERATION
9 Describe work: I A.J • ;--I' LG
SPECIAL CONDITIONS:
PHONE STATE LIC. NO.
PHONE LICEN.SE NO.
PHONE LICEN SE NO.
IU"NCH
0 REPAIR
Type of Fuel: Oil D Nat. Gas O LPG. 0
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.
CITY LIC. NO.
Fee
$
TL
APPLICATION A)PTEO BY
J l 1-
PLANS CHECKEO BY
APP RO /ivE' o FF7 issuANCE BY .. ---+-G-ra_v_it_y_s_v_s_t_e_m_s_-_0_._T_.u_. _______ M_E_a_. ___ +--~1-----1 Floor Furnaces-8.T .U . M
Wall Heater~-B.T .U. M
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,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 GRANT ING 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.
·----------------------------~-~---SIGNATU,tE 0,. CONT"ACTOIII 0111 AUTHO,tlZED AGENT (DATE)
IOAT[J
Unit He .. ters-8 .T.U. M
Evaporative Coolers
Clothes Dryers
Ventilation Fan
Range Hood
Air Handling Unit-C.F.M.
Incinerator
.
1 / ,,
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
I
CASH
•
INSPECTION REPORTS
DATE ITEM REMARKS INSPECTOR
.,
USE SPACE