HomeMy WebLinkAbout2099 TRUESDELL LN.; ; 71-379; Permit7 /-J BUILDING PERMIT APPLICATION
7q City of CARLSBAD, CALIFORNIA KAY28·r~/F•~
Applicant to complete numbered spaces only.
JO& ADDRESS 2o
1 ~~;~~-
OWNER
2
CONTRA
3
4
ENGINEER
5
LEN DER
6
US£ 01" BUILDING
7
8 Class of work: 0 NEW 0 ADD ITION
9 Describe work: T
,---
t)
10 Change of use from
Change of use to
11 Valuation of work: $
MAIL ADDRESS
MAIL ADDRESS
MAIL ADDRESS
MAIL ADDRESS
£
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t) 0
tOSEE ATTACHED SHEET)
PHONE
LICENSE NO.
LICENSE NO.
c"
PHONE LICENSE NO,
BlltANCH
0 REPAIR □MOVE 0 RE MOVE
IS ✓/NG
PLAN CHECK FEE PERMIT
Occupancy
Group
No. of 'X/1 Stories I
Division
Max.
0cc. Load
1
Use Fire Sprinklers
Zone -/ Required Oves O No
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 AND EXAMINED THIS
APPLICATION A ND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WO L BE COMPLIED WITH WHETHER SPECIFIED
No. of
Dwelling Units I
Special Approvals
ZONING
HEAL TH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Speci fy)
OFFSTREET PARKING SPACES:
Covered Ji;l_ Uncovered
Required Received Not Required
HEREIN NOT, H NTING OF A PERMIT DOES NOT
PRESUM I THO ITV TO VIOLATE OR CANCEL THE ., --------if-------t-------+-------i PROVIS OTHE STATE OR LOCAL LAW REGULATING
CO R T HE ERFORMANCE OF CONSTRUCTION.
HORIZED AGENT (DATE)
DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. CASH
INSPECTOR
Form 100.l 9-69 REORDER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS e ~0 SO, LOS ROBLES . PASADENA. CALIFORNIA 91101
0 ~
1-¥,t 1~149**1
:a: 0 ?/-z ..
City of CARLSBAD, CALIFORNIA MAY ?8 ••• **i
Applicant to complete numbered spaces only. ~ "' .. ..
JOB ._00" ESS ;}
Ot?o/ lRvESL?~k }lJ
LOT HO, -I OLK I T" .. CT
LEGAL I <OS[.[. ATTACHED SHEET) t'il ~ ~
1 OUC"•
OWNUI EA' '-.lo J !£IL ._oo"••• C?~o~ PHONE r---.... -Q
2 fen ~ ..Q
ELECTRICAL PERMIT APPLICATIO~
3
CONTIIIAl!TO!lt MAIL A00111ES$ PHONE L ICENSt NO.
3 {"'UJ NGR. '~) AIIICHIT[CT O" DESIGNEPI MAIL AODIIIESS PHONE. LICENSE NO, ~1 4 -,,-,;,-~·
ENG IN EE" MAIL ADDRESS PHONE LICENSE NO. \'i\ 5 ~ -' ~ LCNOER MAIL AOOfllESS IIIIANCH
6 i use o,-BUILDING
7 fJJJ.//~/ l<nnh
0 ADDITION ~ION 0 REPAIR
~
8 Class of work: 0 NEW
9 Describe work: ,,,,/.A.) I if"x:
r,--'/-,.n Rk<!~X/1: ,
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
'
~¥-¥ Total RECEPTACLE :91 Outlets 1 ,Jo
Pl?nv,n LIGHT l~A 1/IJ<J
SWITCH
Total
LIGHTING Fixtures
APPLICATION ACCEPTEO BY: PLANS CHECKEO BY
APPRO;::r~
FIXTURES
RANGES CLO.DRYER WTR. HTR.
NOTICE GARBAGE DISP. STA. COOK TOP
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-DISH. WASH. CLOTHES WASH.
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF SPACE HTR. STA. APPL. 1/z H.P. MAX. CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. MOTORS: H.P. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE T RUE 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 NO. TRANS. PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING SIGNS
61G
CONSTRU-7'Ctt,..OR THE PERFORMANCE OF CONSTRUCTION. NO. LAMPS
TEMP. POWER UPOLE LJUNDGD.
SERVICE 0·200A ,,,.1 201·400A
.,...___" □NEW 401-600A
#IGP"'' COYV" .. UTHO"IZEO .. GENT (DATE) 0 CHANGE OVER 600A
PERMIT ISSUING FEE $ ~ Ot,
TOTAL FEE $ .....3 JQ s GNATUJU: 01' OWNti. II' OWNE,_ BUILD!:" DATE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
Form 100.3 9-69 f'IEO,.OE,. ,,.oM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS e eo so. LOS "OBLES e PASADENA, CALll'OIINIA 91101