HomeMy WebLinkAbout2629 WILSON ST; ; 79-4705; PermitMOD.f-L ~
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·~" -----.. -B-UILD~G PERMIT APPuc!r10N
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City of CARLSBAD, CALIFORNIA 92008 101041794~-,,/~ ~ ,
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OWN[R MAIL AOOR CSS II P PHONE \....7.:2 "~ JJ 5;r J
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C0NT~AC TOA ro~ ±MAIL AOOACSS PHONE STATE LIC. NO. CITY LIC, NO,
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AACH.,,,..CCT OA!J'IGNEA MAIL AOOA(SS PHON £ LICE.NS£ NO. I
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C.NCINEER MAIL AOORCSS PHONE LICENSE NO.
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COMPENSATION INS. CARRIER MAIL ADDRESS BRANCH
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USE OF BUILDING
7 /0--1.A,' .. .... --'"-_.I ,.,.~ ~ ~ -1 NO. BDRM" NO. BATHS
8 ~ss of work: 0 NEW <liA□□ITIU 0 AL TE RATION 0 REPAIR~OVEJ 0 REM OVE
"O_~ _-r-_.) ~ '-,, ! II 9 Describe work : ~.0-<1 _., 12. 4 't'2 (~ ~ " V -a u 0
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10 Change of use from ~ L{' -...
Change of use to /y u /. td\ oJ r.1
11 Valuation of work: $ a -;t_ • ., i;r ~ / / '/ {cV'' PL~ H CK FEES ,t~I PERMIT FEE S 5~~
SPECIAL CONDITIONS: I \ V _/ MICRO FILM FEE
Type o \, Occupancy
J ,.....,.... Const. Group
l / Size of Bldg. t~ No. Of Max.
J ~ t // l (Total) Sq. Ft. Stories 0cc. Load
/"'I\ / ' JV/ I I ~ \ Fire use Fire Sprinklers
AP~ ACCEPTED BY PLANS CHE
177'( .~~ wi~~r~r~ Zone Zone Required Oves □No
OFFSTREET PARKING SPACES,
DATE 9-cJi y l No. o f ,. INo. j Dwelling Units No. ~Sq.Ft. Covered Open
OTICE Special Approvals Required Received Not Required
SEPARATE PERMITS REQUIRED FOR ELECTRICAL, PLUMB-PLANNING OEPT.
ING, HEATING, VENT ATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BEC ES NULL A ND VOID IF WORK OR CONSTRUC-
TION AUTHORI DIS NOT COMMENCED WI T HIN 120 DAYS.OR IF FIRE DEPT.
CONSTRUCT! OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. OTHER (Specify)
I HERE CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLIC TION A N D K N OW THE SAME TO BE TRUE AND CORRECT. ALL P OVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. TYPE F WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREI OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V IOLATE OR CANCEL THE
PROVISIONS OF A NY OTH ER STATE OR LOCAL LAW REGULATING CONSTRUCTIO N OR THE PERFORMANCE OF CONSTRUCTION.
51GNATUR[ o, CONTfU,CTOR OR AU TMORIZ.C.0 AGENT (OAT[) o.m-~. ~ (l. ~ 7JJ,.-22
51GNATURC o, OWNER Ir OWNER BUILDER) ---;;;-, E) -
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. C ASH
s4'!.! TOTAL FEES $ ________ _
.. ., USE-BALL POINT PEN AND PRESS FIRMLY
ELECTRICAL PERMI T APPLICATION
City of CARLSBAD, CALIFORNIA 92008 a ni b
Applicant to complete numbered spaces only Phone 7 29-1181 Pe~h\(i ~oz~r(?"';. 7 'tJ I '.7-rl
J08 ADDRESS
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OWNER MAIL ADDRESS ZIP PHONE
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CONTRACTOR MAIL ADDRESS PHONE STATE LIC. NO. CITY LIC. NO.
3
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARR•ER MAIL ADDRESS BRANCH
6
7
USE Of BUILDING
@Jl -~ -"· Grvi----o
" ~LTERATION 8 Class of work: 0 NEW 0 ADDITION 0 REPAIR --... ,,, .., .. -
9 Describe work : ~~ ~ OA77~ ~
// I} Q
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE -
/) • " NEW CONSTRUCTION, FOR EACH
Al'f'LICATION ACCE•TED IV •LANS CHECKED BY cm::1➔~ AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE NOTICE IN MAIN SERVICF ~WITr.H FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· 0 R ~" ----T ION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF 1.......-D CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FO' REMODEL, AL TERA T l ON. NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS CO \
MENCED. IN SERVICE. FOR EA. AMPERE OF k-P 5 ..-
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED T S .__'NCREASE ~-~ APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORREC . ALL PROVISIONS OF LAWS ANO ORDINANCE!> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT T EMP. SERVICE UP TO AND INCLUD· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP.
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION .
TEMP. SERVICE OVER 200 AMP.
Qf~ PER 100 -/IJ -"4-79 ~~
SIGNATURE Of CONTRACTOR CR AUTHORIZED AGENT (DATE) ,
ISSUANCE FEE Q._ --
TOTAL FEES 7 -sir.NATURE o OWNER I'~' OWNER BUILDER IDATEl
-
WHEN PROPERLY VALIDATED IIN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
BLDG DEPT ( WHITE) APPLICANT ( PINK) TEMP. FILE (GOLD) INSPECTOR ( MANILLA HARD COPY)