HomeMy WebLinkAbout2850 LUCIERNAGA ST; ; 73-242; Permit~ILDING PERMIT APPLICATION
Permit No.
Applicant to complete numbered spaces only.
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181
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L£GAL I tOS[E. ATTACHED $HECT) ~ 1 ocscR.
OWNER d, MAIL AOOll'ESS ZIP PHONE
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CONTIIACTOR -,,-MAIL AODRES.S PHONE LICENSE NO. -r""\ 3 .f/,;;L/':. t: ~/~ _;-;; -[A ,._ ~-,4' ..,. ' ,AIIICHITECT OR OE51GNEIIII MAIL ADOAESS r PHON t LICENSE NO.
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ENGINEER MAIL AOOR&SS ·-PHONE LICENSE NO.
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LENO£ .. -MAIL AOD"ESS 91111.ANCH I~ 6 ~
USE o, BUILDING ) 7 ~., '.-,,. ;-r t ,.~ Ah'~-!.. -.,,;-r.. -:rrr,.·A6✓----( 4.'2\ t1 /'P.A ~Y./~-tl-.. ~
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8 Class of work: □'NEW ~AO'DITION 0 ALTERATION 0 REPAIR 0 MOVE G REMOVE
9 Describe work:
,.
10 Change of use from
Change of use to
11 Valuation of work. $ ~ ?t1C'" .. PLAN CHECK FEE I PERMIT FEE -Y«e;-
SPECIAL CONDITIONS: Type ol Occupancy
Const. r Group ] Division
Size ol Bldg. _}?~-No. ot Max.
(Total) Sq. F!. Stories 0cc. Load
Fire Use Fire Sprinklers
I..
0 tP
► 0 0
ll Ill ~~ ~
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0 If
APPLICATION ACCEPYD BV PLANS CHECKED BY "'"':"17"., zone _;,; Zone J Required DYes l!JNo -i OFFSTREET PARKING SPACES:
/ No. of I Uncovered Dwelling Units Covered
-NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-ZONING
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 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 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.
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SIGNATURE Of' CON TRAC TO" 011 AUTHORIZED AGENT (DATEI
j _.-J, -, r "-
9!GNATURE 01" OWNl'.;'I. (I,-OWNElll l!!IIJIL0£A) IOATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATI ON WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY .
,, ~
FINAL S/o/1r ~· I> /l/-.,1;, .~ ~
I I
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
ELECTRICAL PERMIT APPLICATION
Permit No.---~---
Applicant to complete numbered spaces only.
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181
JOII ADDII r:.ss
, ~g~~-
T,tACT <OSEI: ATTACHED 5HECTI
OWNE~ MAIL A,DDIICS5 ZIP PHONE.
2
CON TPIAC TO" PHONE
3
4
IEHG-INEEA LICEN91f: frr.1O.
5
LEM DU MAIL ADDftl.59 l!UIIANCH
6
7
8 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work:
PERMIT FEES
SPECIAL CONDITIONS:
PLANS CHECKED 8Y APPROIIED FOR ISSUANCE BY
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED rs 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•
MENCEO.
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO 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.
(DATl!J
P' OWfrrCIUt IP' OWNClll IIUf\.DIEflll DATE.
ISSUANCE OF EACH PERMIT
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
NEW SERVICE ON EXISTING BLDG.
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. Each
M.O.
, *
Fee
CASH
"'O ~ (D .. 3
> -· ",-+ D »z ~ 0 .. .