HomeMy WebLinkAbout2570 WILSON ST; ; 75-422; Permit• i . ~ ' ..t-0
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No 2'1 -4''2-Z.
' Joe A DDA £55 ASSESSOR'S
-., l o ;~· PARCE L NUMBER ... :...t,,C.C ..... ' LOT NO. I ·L• I TAACT BOvK F>AGE I PAR,
LEGAL I (0sec AT TACHED SHEET) 1 DEst•.
A ·-
.... OWN[R
MA<,?P~c J, ZI p PHONE
2 ; I ;(,,(,.c.f ~--~~. ~
CON Tl'tA C TOA ./ MAIL AODRES:ov <-f~U ';> iC.l PHONE LICENSE NO. ST ATE CITY
3 .x?::/· 2. -· I , / I ~~-1-. __:_.) -/:J /-5"4 q I .,.., I )t,,,"/
A RCHITECT OP!: 0£51CNCR M AIL ADDRESS PHON C LICENSE NO,
4
ENGINEER ~.U.IL ADDR ESS PHONE LICENSE NO.
5
COMPENSATION INS. CARRI ER MAIL ADDRESS B R ANCH
6 (., j)_,__ I . ") f
use 0,,. BUILDING '"
7 ),) -. .,,,) ,.,-~ . ~ ' .,,..---
8 Class of work: .□_N ~~---~ □ Ao~w( ~ ALTERA~. 0 REPAIR □ MOVE 0 REMOVE
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!:/.-_JA4 ~ ~·/'-9 ·Describe work: ( I .PIA.AA .AL? . ..d ...o. ,n-..,...., ,,,,
-· -(/ ' -/'7 ..., ..... .... '--"'---
10 Change of use from
Change of use to
11 Valuation of work: $ ~:299e,~ PLAN CH ECK FEE S /l?'d('J I PERMIT FEE $ Y?o-u
SPECIAL CONDITIONS: tV MICRO FILM FEE
Ty pe.°lf_ Occupancy
Const. -Group
Size of Bldg. No. of Max.
(Tot al) Sq. Ft. Stories 0cc. Load
l --Fire use Fire Sprinklers
APPLICATION ACCEPTED ev ?:J';:87 ~~~A ~SS;CE BY
Zone Zone Required □Yes ONo
No. of OFFST REET PARKIN G SPACES,
Dwelling Units No. INo.
DATE .,, I Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQU IRED FOR ELECTRICAL, PLUMB-PLANNING DEPT.
ING, HEATING, VENT ILATING OR AI R CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WOR K OR CONSTRUC-HEALTH OEPT.
TION AUTHORIZED IS NO T COMMENCED WITHIN 120DAYS. OR IF FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABAN DONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED . OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMIN ED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. 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,
I ,.. -l / /-. 7 )
51GNATUfH. o, CONTRACTOR 0 .. AUTHOIIUZED AGENT . (DATE)
~IC.NATURE 0" OWN[l'I 11, OWNER IIJUILO[R) (DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, M.O.
O,Cf
CASH
INSPECTOR
,I
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 ?~ -4-_::z
Applicant to complete numbered spaces only. Phone 7 29-1181 Permit No.
l NGINl[" MAIL AODfllC.SS
5
CARRI ER
6
7
8 Clau of work:
9 Describe work:
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED ev
NOT ICE
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 DAY~ AT ANY TIME AFTER WORK IS COM
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. 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 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
r ~ 'r-?
SIONATU"I. OP' CON.TflllACTOflll OR AUTHONIZID AGENT /
(DATE)
P' WNE" I~ OWN[IJI IUIL0E." DATE
QsEE ATTACHED SHEltT)
PMON[
LICCNSl NO.
PHONl LICCN.SC NO.
REPAIR
PERMIT FEES
ISSUANCE OF EACH PERMIT
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
OR BREAKER
REMODEL, ALTERATION, NO CHANGE
IN SERVICE, FOR EA. AMPERE OF
INCREASE
TEMP. SERVICE UP TO AND INCLUD·
ING 200 AMP.
TEMP. SERVICE
PER 100
PERMIT FEE
OVER 200 AMP.
No.
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O.
INSPECTOR
CI TY
Each Fee
5
7
CASH
2365
MECHA AL PERMIT AP
Permit N o . _____ _
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181
JOI ADDfll ESS
LOT NO.
LlGAL I 1 OUCII.
OWN[fl MAIL AODftESS
2 ./4-c,,,-~. L,.
CONTfllACT0lllt
3
Al'ICHJTECT OJI 0 ~&1,GN[fll
4 /
-MAIL A.,_.01t[$S /
CNG IN [1.11111
5
LCNOUt MAIL ADDllltCSS
6
use o, BUILDING
7
'
8 Class of work:
9 Describe work:
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
NOTI CE
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 ANO K NOW 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 GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTH ORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTH ER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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<OSEE ATTACHED SH[CT)
ZIP PMONC
PHONE LICCNSC NO.
, I J I 1/ r, r , ,
' -r PHOtl£ , LICCWSC N-0.
PHONE. L ICCNSC NO,
--
8(111ANCM
Type of Fuel: Oil 0 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.
Gravity Systems-B.T.U. M Ea.
Floor Furnaces-8.T.U. M
/ Wall Heater~-8.T.U. M
Unit Heaters-8.T .U. M
Evaporative Coolers
Clothes Dryers
Ventilation Fan
Range Hood
Air Handling Unit-C.F.M.
Incinerator
/ ,
0
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"' ;n
Fee
$
* l.w
'-0 m
)>
0
0 ;n
"' "' "'
-0 CD
3
:z
0
, (, -J ------SIGNATUlll 7,/TIIACT0II 011 AUTHOIIIU0 AGlNT
7-7-)~ -
(DATE) -----,1------------------------,t---t----t
PERMIT
~ GN&TI IU': o, OWNCIII 1, OWNCII BUILDE.lfll DATC) TOTAL FEE
WHEN PROPERLY VALIDATED UN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK . M .O. CA SH PERMIT VALIDATION CK. M.O.
INSPECTOR
I CA SH
~
fy£(RE/t T!IJIV"'/4
A QOJV\ <b.S'l~':J...
+--Ir
fV() S L.1:.-1£/Wl/6,,
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PfRMITS ETC., Rt:QUIRF.1)
Owner ----=:...,.iw.---,1-.Y:
Contraefor L...&~~(d.~~~~~~Y\
-· Building ________ _
-'lun,bin~r -------
.Electrical --------
Power Pole ------Mechonicol _______ _
Plumblng-landscope ----Sewer ________ _
Encroachment-------Grading _______ _
list of Subs--------
Swimming Pool
Building -------Plumbing _____ _
Electric ---------
Fence, Walls, etc, ------TemfDOrary Electric ____ _
Final ________ _
APPR0¥ALS MQUIRED F0l FINAi·
Fn ltllllrUl!t Roof c.4lflce+. ---• ......,o.,e, ______ _
,...... Dept.-------
fntl--,Dept,, ______ _ ,...,.., ________ _
w.,,__,. _______ _ .... .,..._ ______ _
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