HomeMy WebLinkAbout2104 Linda Ln; ; 77-5002; PermitMODEL NO. _________ _ -•
BUILDTNG PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 _
Phone 729-1181 P~il!if!1rJ1 ~~~~oo Applicant to complete numbered spaces only .
JOfl AOOR ESS ASSESSOR'S a.. /0 <I :r.' -/ e ./7') (l_ D 0_ D r~ PARCEL NUMBER .
I..OT NO. '" ., I TRACT ✓ eouK PAGE I PAR.
t..EliiAI.. I (□SEE ATTACMEO SHEETI 1 OE$CII.,
ow,'"x--_)_ ,)J /~ MAIi.. AOOII.ESS "' PHONE
2 -~ n. A . 7 .:J._ CJ 5" ¥ l/i'
CONTII.ACTO" u MAIi.. AOORESS PMON E STATE LIC. NO. CITY I.IC, NO.
3 ,<. ~
AIICHlTECT OR DESIGNER MAIi.. ADDRESS PHONE I..IC[MSE NO,
4
ENGINEER MAIL ADDRESS PI-IONE LICENSE NO.
5
COMPENSATION INS, CARRI ER MAIL ADDRESS BRANCH
6
USE 01' BUILD!NG
7 NO. BDRMS NO. BATHS
8 Class of work: □NEW □ AOOITI0N □ ALTERATION □ REPAIR □ MOVE □ REMOVE
9 Describe work: .;i~ {IX 2..0 j . d--I j .x ~ o'J.. • I -/7~ /JJ(/1:,
..J.20rf]. V a II/ 17(,, m , , 'JS"~
10 Change of use from -r f; 7?-2 o:_ .JP 7, 9 ..>-0-,:,,~ _,, fl?O "'1> -
Change of use to
11 Valuation of work: $ /.J:, ?o7 a,.r:,-3 '/~PERMIT FEE$ 6,,r~ -PLAN CHECK FEE$
SPECIAL CONDITIONS, MICRO FILM FEE Type of Occupancy
Const. Group ( Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories 0cc. Load
-...... ~ Fire USO Fire Sprinklers . .,uc•µ,~ ( 0-'\'.% ( ~'~1 Zone Zone Required Dves □No
OFFSTREET PARKING SPACES: No. of !No. DATE ' .(. DATE,_. (er" Dwelling Units No.
Covered Sq, Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMS:· PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· HEAL TH DEPT.
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 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-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS ANO 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.
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(DA TE)
t-)7-??
'"'I !.NAT o, " " " ft_0£11) DATE)
I WHEN PROPERLY VALIOATEO !IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES$_/;~~~~~-~-~---
. ,
-
IVD I US\>ec.-T1<>iJ
\-i\6461
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77-500~
' .
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
A ,-Phone 729 1181 pp ,cant o comp e e num er, spaces on y. -Permit o. ' . ... ~ I t b ed . N
JOB ADDR ESS ·-..
/t1y di ~ '. ~·-,A' n"
LOT NO, .. 19LK. I TRACT (O SEE ATTACHED SHEET) LEGAL I 1 DESCR.
OWNER / J n_,A~ /J MAIL ADDRESS ZIP PHONE
2 ., ,-L/Le/r
CONTRACTOR -fJ MAIL ADDRESS PHONE , ~ STATE LIC. NO. CITY LIC. NO.
3
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENG !NEER MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work: f u ~ /I ~3i>-~ d //,.. '),.
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
" NEW CONSTRUCTION, FOR EACH
APPLICATION ACCEPTED BY PLANS_CHECICEO BY APPRO\IE. FOR 1fiU~NCE BY AMPERES OF MAIN SERVICE, SWITCH,
, FUSE OR BREAKER
/..../t/· X f 0 ..-TE lrf"I/? I I NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC· OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION. NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED. IN SERVICE, FOR EA. AMPERE OF ~/ ,
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE
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 TEMP. SERVICE UP TO ANO INC LUO· 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.
PER 100
SIGNATURE OF CONTRACTOR OR AUTHQ.l!l'ZED AGENT (DATE)
ISSUANCE FEE
/ .. 11 -
,. A ... .. , TOTAL FEES
!C;IGNAT-tJRE Of owin::R If' OWNER bUI LOER (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