Fillable Office Use Only APN # PERMIT # Residential (City of Carson, California)

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Office Use Only APN # PERMIT # Residential (City of Carson, California)

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PERMIT #
Job Address:
Property Owner Name/Address: ________________________________________________________
Phone No. (_____)__________________
Contractor: ___________________________________________________________________ Phone No. (_____)__________________
State License: ____________
Class:
____________
____
City Business Licence#________
__________________
Applicant
: ________________________________________________________
Phone No. (_
__________
____)___________________
Address: ______________________________________________ Email: ___________________________________________ _______
Structural
Electrical Mechanical Plumbing
Solar
Demo
Other
Job Description: _________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
Valuation: $_______________________
No. of Stories:______ Construction Type:______ Occupancy Group:______ Occupant Load:______ No. of Units:________
INTERIOR
Balcony: ________
GARAGE
Attached Detached 1-Car 2-Car 3-Car 4-Car
New Garage sq. ft.:_______ Remodel Garage Sq. Ft: :_______ Carport Sq. Ft.: :_______
EXTERIOR
Block Wall Retaining Wall Fence Height:___________ Linear Ft:______________
SOLAR
Number of Solar Panels: _________ Solar KW: _________
RE-ROOF
Roof Pitch: _______ Squares: _______ (1 square = 100 Sq. ft.)
Select the structures to be part of this work:
Main Structure Garage Patio Accessory Structure
Tearing off existing layers?
1 Layer 2 Layers 3 Layers
No layers removed
New Roof Sheathing?
Partial, Repaired areas ½” OSB 5/8” OSB ½” CDX 5/8” CDX Fiberglass Base Sheet Tongue and Groove
What Underlayment is being installed?
2 Layers of #15 felt #30 felt #40 felt TG-2 None
Are there solar panels installed on the roof? Yes No
THIS APPLICATION WILL EXPIRE IN 180 DAYS FROM THE DATE RECEIVED UNLESS A BUILDING PERMIT HAS BEEN ISSUED. NON-
REFUNDABLE PLAN CHECK FEES ARE DUE UPON SUBMITTAL. CONTRACTORS ARE REQUIRED TO OBTAIN A CITY OF ADELANTO BUSINESS
TAX.
SIGNATURE: ___________________________________________________________ DATE: _____________________
04/12/2021
Development Services Department
11600 AIR EXPRESSWAY,ADELANTO, CA 92301
BUILDING
& SAFETY
DIVISION
(760) 246-2300 EXT. 11182
PLANNING DIVISION
(760) 246-2300 EXT. 11180
Apt /Suite#:
Residential
Commercial
___________________________________________________________________________
Expired date:
Roof Mount: _________ Ground Mount: ___________
Office Use Only
Improvements:
New
Alteration
Repair
APN #
_________________________
Panel Upgrade ___________
Please add square feet of the following items that
apply to your project:
New Construction: ___
___ Addition: ____
__ Remodel: _
_____ Deck: ___
__
__
__
_____
Covered Patio: ________ Enclosed Patio: ________ Trellis/ Gazebo: ________
No.Bedrooms: No. Restrooms:
____
______
Fire Sprinklers Y / N
Tract Number:
______
LOT #
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0
4
/
12
/2021
Electrical
New construction on residential units (Sq. Ft.)
New construction on residential garages (Sq. Ft.)
Electrical Meter Reset
Receptacle, switch, outlet, and fixture
Fixtures, Mercury, Quartz,
etc.
Heater, through 65 watts
Heater, over 65 watts
Radiant heater, per watts
Pole: Power, light, etc. (includes 1 light fixture)
Each additional light on a single pole
Residential Appliance
Non-residential Appliance
Hot Water Heater
Commercial Oven – Up to 50,000 watts
Commercial Oven – Over 50,000 watts
Cooking Device – Up to 10,000 watts
Cooking Device – Over 10,000 watts
Power Apparatus – up to 1 hp/kw/kva/kvar
Power Apparatus–not over 10 hp/kw/kva/kvar
Power Apparatus – not over 50 hp/kw/kva/kvar
Power Apparatus– not over 100 hp/kw/kva/kvar
Power Apparatus – over 100 hp/kw/kva/kvar
Time Clock
Plumbing
Water closet, Bidet
Bathtub
Shower
Lavatory
Kitchen Sink
Garbage Disposal
Laundry tub or tray
Water Heater
Floor Sink
Floor Drain
Dishwasher
Urinal
Automatic Washing Machine
Water Lateral
Building Sewer
Cesspool/Leach line
Industrial Clarifiers
Private Sewage disposal System
Mechanical
Furnace – up to 100,000 BTU
Furnace – 100,000 BTU To 1,000,000 BTU
Furnace – over 1,000,000 BTU
Ducts
Install/Relocation of floor furnace, suspended heater, wall
heater, unit heater
Air Conditioning, Condensing unit up to 5 tons
Air Conditioning, Condensing unit over 5 tons
Installation of appliance vent only
Repair, alteration or addition of heating, cooling,
refrigeration or absorption system
Incidental gas piping (first five outlets)
Incidental gas piping (after five)
Commercial range hood (including duct and fan)
Evaporative Cooler
Boilers/Compressors/Absorption Systems
up to 3hp or, 100,000 BTU
Boilers/Compressors/Absorption Systems
up to 15hp or 500,000 BTU
Boilers/Compressors/Absorption Systems
up to 30hp or 1,000,000 BTU
Boilers/Compressors/Absorption Systems
up to 50hp or 1,750,000 BTU
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Office Use Only APN PERMIT Residential (City of Carson, California)

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Completed 17 February 2022

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