HomeMy WebLinkAbout2605 MADISON ST; ; 70-464; PermitBUILDING PERMIT APPLICATION 1
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City of CARLSBAD, CALIFORNIA " > • 0
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Applicant to complete numbered spaces only. JUN 17-70 ~ .. 2911f* ~ .00 ?;?;;$~ '~d' ./.} t
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-I LOT NO, ·" ,..ACT .. ~ LEGAL (□SEE ATTACHED SHEET) 1 DESCR, J ~ ~ M,,C;'d;-:S-t,u ~ '" PHONE \.I -\l . ,o, f!,,. .. ll/ 1 l--0 7~~"'1?". . J,
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A"CHITECT...,.. DESIGNER . MAIL ADDRESS PHONE I LICENSE NO, • ' 4 • • •
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~IL ADDRESS PHONE 32:-~~2/r I> n. , A • , , ...
LENDER MAlL ADDRESS BRANCH ~ 6
USE 7.ILDING (_ () ~ -~I..· ()
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Class of wofr M?'w f 7 □ REPAIR □ MOVE □ REMOVE ~
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8 ADDITION □ ALTERATION
9 Describe work: JCj k,_. '{ '{'-I p tth, ~ -,4.u..-u----' 8.s' ol .l" ,. 1!,_o, /"! i
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10 Change of use from
Change of use to
11 Valuation of work: $ 51 l/ 3 0 2.::: PLAN CHECK F I PERMIT FEE/If'~
SPECIAL CONDITIONS: Type of ~tJ Occupancy
Const. 17 Group Division
Size of Bldg. ~ ~ No. of I Max.
(Total) Sq. Ft. Stories 0cc. Load
Fire use (Of-/ Fire Sprinklers ~ -APPLICATION ACCEPTED BY: PLANS CHECKED BY ~7fi·: zone /JI zone ' ,._ Required Oves
No. of /
OFFSTREET PARKING SPACES:
Dwelling Units Covered 1 Uncovered
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB• ZONING
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT.
THIS PERMIT BECOMES NULL AND 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-OTI-IER l'..&peclfy) ,
MENCED. .
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ~ ✓,. , -•✓A _nVA')-41 ,
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ---. -• ALL:-_P"ijgylSIONS OF LAWS ANO ORDINANCES GOVERNING THIS ., /'r ·v -~
TVP ~• • ORK WILL BE C,D WITH WHETHER SPECIFIED --// .... --L.l ✓A HE IN O ~ NOT, THE GRANT G OF A PERMIT DOES NOT
P SLIME O GIVE AUTH0RIT TO VIOLATJ~R CANCEL THE
P O ~S OF ANY THE~r TE OR~ AW REGULATING i T~,O: O~TH~ E ;0
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R~AN ~CO"j:;1:5·~ T --•
_,GNATURE OP' 'NTRACTOR OJt'A. THORIZED AGENT (CATE)
•IGNAT"RE OP' OWNER IP' OWNER BUILDER CATE)
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M,0. CASH
~SPECTOR
~--~ ... 1 nn 1 o.,:;,o REORDER FROM: INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS e 50 SO. LO$ ROBLES e PASADENA, CALIFORNIA 91101
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