HomeMy WebLinkAbout2687 OCEAN ST; ; 71-255; Permit1
0 ~
~ 0
)/-d-5 ~ City
z i~ of CARLSBAD, CALIFORNIA ,.,
ll
Applicant to complete numbered spaces only. ,~) ~ I
UI
;tl JOB ADOR ESS ~ ~ 26 ~7 OCE.A-# ..s r.: ~
LEOAL I LOT NO. a,-.2st• i!.1 I 8LK la::dr I f"o -EbJ-14-o tOSEE ATTACHED SHEET) K' \ti locsCR, 2 3-2-1-2 !,"°-ab /qo-eo3-l4o 5
OWNER MAIL ADDRESS"' ZIP PHONE N
2 ~1)6,E; C.#~/el.G..r 1/. flA.Rr? ~ -·
CON TRAC TOR . MAIL ADDRESS PHONE L ICENSE NO, f 3 :fo/.1-» NJ/ d k-~ -~ ~ ARCHITEC T O R DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4 ~ lil ~ b ENGINEER MAIL A DDRESS PHONE LICENSE NO. ~ §
5 -~
BUILDING PERMIT 1'PPLICATION
LENDER MAIL ADDRESS BRANCH
6 -~ USE or BU ILDING ~
7 ~ ~ 8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE ~E
9 Describe work: /)S-/4 o I/T7 o# tJ F E"Y1STrN' ~
iv
..... s:' IR II e Th/? & s
10 Change of use from } '{. j ' .
Change of use to
11 Valuation of work: $ PLAN CHECK FEE I PERMIT FEE j/"t').,)/c=
SPECIAL CONDITIONS: Type of Occupancy
Const. Group Division
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories 0cc. Load
II Fire Use Fire Sprinklers m) r\"'"'"" PLANS CHECKED BY APPROVED FOR ISSUANCE BY. Zone Zone Required □Yes □No
;✓,/JrL . No. of OFFSTREET PARKING SPACES:
Dwelling Units Covered I Uncovered
\ . ./ NOTICE Special Approvals R equired Received Not Required
' SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-ZONING
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH OEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION A UTHORIZED 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-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING T HIS TYPE OF WORK WILL BE COMPLIED WITH WHET HER SPECIFIED HEREIN OR NOT, T HE GRANTING OF A PERMIT DOES NOT
eRES:~O GOVE AUTHOROTY TO V0OLATE OR CANCEL THE ' PROVI S OF ANY THER STATE OR LOCAL LAW REGULATING
CONS TION THE PERFORMANCE OF CONST RUCTION.
x ,,,~ -~~~ ~??/
c.~TURE or CON~ACTO~ OR AUTHORIZED AOENT (DATE)
SIGNATURE 01" OWNER I I" OWNER BUILDER) 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
Form 100.1 9-69 REORDER F'ROM : INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS e !50 90, LOS ROBLES e PASADENA, CALlf"ORNIA QI 101 ·-