HomeMy WebLinkAbout2040 GAYLE WAY; ; 72-1062; PermitBUILDING PERMIT APPLICATION
Permit No. _.,. --..J
Applicant to complete numbered spaces only.
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181 -"· ., 0
JOB AODR ESS ~/r 0 l. 'I
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LEGAL Qsr::I. ATTACMEO SHltl.TI r~ 0 1 ocsc•. ll
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MAIL AOORl:SS ZIP P~ONC ..
2 DWN£~'17..>, ,. .. ,, .i~
C/1 'j)/'J1 ✓ <?200.Y l~l Ju . ,. ... --~-Lr.-~ ,~ CONTtilAC-'tOR . . ·• MAIL ADDRESS , PHONt -LICENSE. NO.
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,, __ C) I 3 1A1.1 -~ ... 1' AflCHITtC'T ON DESIGNER ~--MAIL A0O,.£5S ~· PHONE LICtNSE NO.
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tNGINEl:R MAIL AOORCSS PHONt Llt£.NS£ NO,
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L[NOUI MAIL AODllU.SS 8111:AMCH
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USE OP' aulLDING d~-~ ... ~ 7 "'-: -u •NEW
-(1) -8 Class of work: ~OifTON 0 ALTERATION 0 REPAIR •MOVE 0 REMOVE (_ 3 -~
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1 -,. ";tj;· ... 'L.. n~ ... ' ? .
9 Describe work: PA ✓,J/f-~A.~ (l ;,.,,;/J--A 0 .}'
f.f A~f•~/1 /. ·-r / I -i __ ,,
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10 Change of use from
Change of use to ,~~ -.,_
11 Valuation of work: $ r-',C J!JO oo I PERMITF~ q t:)0 ' PLAN CHECK FEE
SPECIAL CONDITIONS: . ,,. Occupancy -_,cc
j Type of ...L,:_ Const. UO tJV Group Olvlslon -'
Size of Bldg. No. of if Max. ,,,,,, ) (Total) SQ. Ft. I <n Stories 0cc. Load ..
Fire -5 Use R-t Fire Sprinklers .,,,,,.,... APPLICATION ACCEPTE O BV PLANS CHECKED BV APPRO~;NCE BY Zone Zone Required Oves £:I~
;f~ -OFFSTREET PARKING SPACES: ,-. ,, No. of I Uncovered Dwelling Units Covered I -NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-ZONING '; ING. HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. ~ TH IS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-/ TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FIRE DEPT
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT ,,. ,,........
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM• OTHER (Specify) I~ f j ) MENCED.
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS \ \ l APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT.
~· ·~ \ ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS I TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
A l \ HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT '1 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE (I I t PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Ii I i ·1 ~-I ~·
SIGNATUii.:E o, CONTRACTOlll Oft AUTHO,.IZEO AGE.NT (DAT£) 11 I J
)( ~ I I
) , SIINATUftE 01" OWNEft (I, OWN["-8Ull.0£R) {OATt)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
t.
~ . __.
INSPECTOR
ELECTRICAL PERMIT APPLICA 'f 10§.13 ~
Permit No . ., • Ii.. ,. City of CARLSBAD, CALIFORNIA 92008
Applicant td complete numbered spaces only. Phone 7 29-1181
JOB A001' IESS
<OsEt ATTACHED SHEET)
OWN£" l'MONE
2
CONTJIAC7'0J1 L.ICENS E NO.
3
~HON[ L.IC[NSE. NO,
4
lHGIHE.l.flt L.ICEHS£ NO.
5 -LlNDUI MAIL AD0ft£SS IUIANCH
6 -
USIE. 0,. aulLDING
7
8 Class of work: 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
NEW CONSTRUCTION, FOR EACH
l-,.,-P-PL-1C_A_T_1o_N_A_c_ce_P_T_Eo_a_v_, ...... ,-L,.,-N..,s_c_H_ec-K""e_o_e.,..v;;;;::::;:.;;._T""'..,,..,.,R..,o_v __ e_o_Fo_R_1_ss_u_A_N_ce_e_v-f AMP ER ES OF MAIN SERVICE, SWITCH,
;JIJrl_ :~:E SEOR:IC:R::KE:XISTING BLDG,
NOTICE
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 AND KNOW THE SAME TO BE TRUE AND CORRECT, ALL PROVISIONS OF LAWS ANO 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SlGNATUllll OP' CONTIIIACTO.-0111 AUTHO"llCO AGENT (DATE)
P' WNE.R: 1 P' OWN£" •U IL.OE" OAT[
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 OVER 200 AMP.
PER 100
MINIMUM PERMIT FEE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.
INSPECTOR
No. Eech
M.O.
Fee
CASH
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