HomeMy WebLinkAbout2350 Hosp Way; ; 74-833; Permit0 .)
BUILDING PERMIT APPLICATIO~
City of CARLSBAD, CALIFORNIA 92008
Applicant tocompletenumbered spaceso:1/y. Phone 729-1181 Permit No.
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CONTIIIACTOA
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MAIL AOOR ESS
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M AIL Ar>OA ESS
ASSESSOR"S
P ARCEL NUMBER
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(0St.E ATTACHED SHE[TI PAGE I
ZIP I PMONE
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-72)-79ll
PHON C LICENSE NO. STATE
PAR,
CITY
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AR CHITECT Ollt OESIC.NtR MAIL ADDRESS PHONE LICtNSE NO,
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ENGINEER MAIL ADDRESS PHONE LICCNSE NO.
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COMPENSATION INS. CARRIER M,A.tL .a.oo•u.ss 8 111:ANCM
6
USE 0,. BUI LDING
7 _:;m-t 9 ~u:;, l
8 Class of work: □NEW 0 ADD ITION □ ALTERATION 0 REPAIR 0 MOVE □ REMOVE
9 Describe work: r·-~,~"-
,_
~· ·--
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE$
1-S_P_E_C:...I.;..A_L_C_O_N_D_I_T_I O_N_S_: __________________ -1 Type of
Const.
1------------------------------f Size of Bldg (Total) Sq. t,
1--,---------------,-------------,----------1 Fire APPLICATION ACCEPTED BY PLANS CHECKED ev APPRQVED FOR ISSUANCE BV Zone
DATE
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB·
ING, HEATING. VENTILATING OR AIR CONDI TIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS, 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 T H IS
APPLICATION AND KNOW 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 G IVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION .
•._. . ,
(OAT£)
DAT[J
No. of
Dwelling Units
Special Approvals
PLANNING DEPT.
HEAL TH DEPT.
FIRE DEPT
SOIL REPO~T
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
Occupancy
Group
No. of
Stories
Use
Zone
\ PERMIT FEE s ~7 " "
MICRO FILM FEE
Max.
0cc. Load
Fire Sprinklers
Requ,red 0Yes DNo
OFFSTREET PARKING SPACES·
No. Covered
Required
Sq. Ft.
Received
INo. Open
Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE! T HIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
CJ
BUILDING PERMIT APPLICATION
"
City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumbered spaceso:1/y. Phone 729-1181 Permit No.
JOB AOOR tSS ASSESSOR'S
'.;1 li'q. 1~-:,,..,~~ .. ~., ~ P ARCEL NUMBER
L.OT NO. I &LK
TRACT BvvK PAGE I PAR,
LEGAL I <OscE. ATTACHED st-ictTJ
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OWN[R MAIL AOOA£55 ZIP PHONE
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CONTRACTOR MAIL >,OORE&S PHONE LICENSE NO • STATE CIT Y
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AftCHITE.CT OR OCSIGN(A MAil AOOAES5 PHONE LICtN5E NO.
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t;NCINEER M AIL ADDRESS PHONE LICENSE NO,
5 . La Iler. ... ~" -'l~:.. ~ • ., J .. _. _. 7•~·-· 1'-.--··-:.}',.. ,t L • -::::."" .0-"
COMPENSATION INS, CARRIER MAIL AOOAtSS B"ANCH
6
use o, BUILDING
7 .
8 Class of work: 0 NEW Q ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: ........... -,A, r a
-r'I r · . .--·-
10 Change of use from
Change of use to I
11 Valuation of work: $ ~h t'Jn 'QO PLAN CH ECK FEE $
.,, I PERMIT FEE S,-~(J"e:,
SPECIAL CONDITIONS:
MICRO FILM FEE
Type of Occupancy
Const. Group
Size of Bldg./4~ / No. of Max.
(Total) Sq. F .~ Stories 0cc. Load
Fire u se Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CMEC~E0 BY APPRQlfHl,F0R ISSUANCE BY zone Zone Required OYes □No ,,,,,..-N o. of OFFSTREET PARKING SPA CES:
Dwelling Units No, !No.
DATE I DATE Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICA L, PLUMB· PLANNING DEPT.
ING. HEATING. VENTILATING OR AIR CONDITIONING. HEALTH DEPT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WIT HIN120DAYS. OR IF FIRE DEPT .
CONSTRUCTION OR WORK IS SUSPENDED OR ABAN DONED FOR A SOIL REPO~T
PERIOD OF 120 DAYS AT ANY T IME AFTER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE ANO 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.
,,,,,..,..,.. .. C f 1 ,..(, '<'~-/!'
.S.IGNATUAE. 0,-CONTfU,C TO,-0" AUTH0"11t0 AG[NT (OAT£)
'
SIGN.1.T11111r o, OWN[ftlt,-OWN[llt IUILD[A (OAT£)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
0 (.>
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumberedspacesonly. Phone 729-1181 Permit No. "'"?// -~~
Joe ADDA £55 ·, ASSESSOR 'S
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LOT NO. BLK lmtT BOOK PAGE I PAR,
LEGAL I . -• 1 .H ., . ..,· -....~· .. i... C::t1t 'Ii. tOsc:c ATTACM£D 5MECT) 1 ocsc•.
OWNC.A MAIL ADDRESS ZIP PHOHE
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CONTRACTOR "'1AIL ADDRESS PHONE LICENSE NO. -STATE CITY
3 l .t!ro. Co,, .'e;~'..i•· I ~ ... ~, C~,72:~ '11/tr"i:1. (:,b r.Mhjfi~ .... ..... ! ~ --~
AftCHI T(CT Ollll DESIGNER MAIL AOOR(SS PHONE LICENSE NO,
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1
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ENGINtCR MAIL A OOR£55 PHONE LICC:NSC NO.
5 '11 ~.i"& • -~:i r .... --.i,....__.,ll: • ~nr.·~ . --'..' --COMPENSATION I NS, CARRI ER MAIL •oo,uss BRANCH
6
use 0,. BUILDING
7 '']. --=-.c -. -1 .~ -,
8 Class of work: 0 NEW G) ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
,. lr. ll.,."'t,J rt 9 Describe work: = "¥V:. ·~
10 Change of use from
Change of use to ..
11 Valuation of work: $ "3 -:<00<70 1 d(7
PLAN CHECK FEE$ PERMIT FEE $
SPECIAL CONDITIONS: MICRO Fll.M FEE
Type Of Occupancy
Const. Group ·1/o Size of Bldg. No. of Max.
(Total) Sq. '?_t/ Stories 0cc. Load
Fire Use Fire Sprinklers
APPL1CAT1QN ACCEPTED 8V PLANS CHECKED BV APPR0VE0 FOR ISSUANCE BV Zone Zone Required OYes □No I_J[' N o. Of OFFSTREET PARKING SPACES:
Dwelling Units No. 'No. DATE ,, DAl'S Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING. HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN120DAYS, OR IF FIRE DEPT
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPOtH
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 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.
,: ' ~~---:--".."", -,/; /./: 7 _,.// C0 ~~. •"" ?,o, CONTOACTOO 0Rf AUTHD•IUO AGLNT IOATCI
~
SIGNATU,t£ o, OWN[A II" OWN[III BUILD£" (OAT£)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
0 -BUILDING PERMIT APPLICATION * City of CARLSBAD, CALIFORNIA 92008
Applicanttocompletenumberedspacesonly. Phone 729-1181 Permit No.
Joe At)OR ESS ASSESSOR'S
f:~~ {:~,IF ~---i,i I-. ii., ~r.. 1'7'!' PARCEL NUMBER
LOT NO. -I OLK I T~ACT
BOOK PAGE I _PAR.
LCGAL I tOscr: ATTACHED SHEET) 1 0C~CA. /1,'f ~aTI~ :i \,:i.,, rrn~f-, L
OWNE;.111 MAIL AOOAESS = ' "p PHONE
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CONTIIIACTOR MAIL ,._OOR£SS PHONC LICENSE NO. STATE CITY
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AftCHITtCT 0111: D tSIC.NCR MAIL A00AC5S PHON £ LIC CNS£ NO.
4 -l~. -",~ A Ac::c:,_.-,. :'7-__ l'r, 111i~.r, .. , •....._,~!I.C --• ·"-
ENGINEER " MAIL AOCR ESS PHONE LICENSE NO.
5 t . ~-I'::e .. , --_!-;:.,4, 1 -~-. 91~C:....~!>!) .. ,, -• --~· ·~
COMPENSATION INS. CARRIER MAIL AOOIIIESS B"-ANCM
6
use Of' 8Ull 0 1NG
7 .. 'It.A♦.-.
8 Class of work: □NEW I;) ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: ~-···---.
fL n.i ,:;~ ~
10 Change of use from
Change of use to
11 Valuation of work: $ ~!200 (J _..,..., I -::;,~ A ,J . PLAN CHECK FEES PERMIT FEE S ,
SPECIAL CONDITIONS: MICRO FILM FEE
Type of Occupancy
Const. Group
Size of Bldg. •n No. of Max.
(Total) Sq Fl Stories 0cc. Load
Fore use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BV APPROll[D FQR ISSUANCE BY zone Zone Required DYes 0 No
"aE-b No. of OFFSTREET PARKING SPACES·
Dwelling U"lts No. !No.
CATE Covered Sq. Ft. Open
NOT.ICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATING, VENTILATING OR Al R CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 12ODAYS, OR I F FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPOtH
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCED. O T HER (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 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'.>• 1, ,_...-,r-., .. , ' ... ~-j-·
51 CNATUAf; or tOMTfU,CTOA OR AUTHOA.IZtO AG£NT -IDATE)
~
$1GNATUIIIE 0 ,-OWN[III (I P' OWNEfl IIV II..DCllt) (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