HomeMy WebLinkAbout2596 ROOSEVELT ST; ; 72-1283; PermitBUILDING PERMIT APPLICATION
Permit No. 7;2. _, µj7j City of CAR_LSBAD, CALIFORNIA 92008
Applicant to complete numberea spaces only. Phone 7 29-1181 -
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OWNER MAIL ADDA ESS ZI p PHONE "'
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CONT,-AC TOR /J~ . ._ MAIL AOOfltESS PHONE LICENSE NO. ,1,,'-3 I I\.J' -AIIICHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO,
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CNGINEER MAIL ADDRESS PHONE LICENSE NO.
5
LENDER MAIL ADDRESS 8IIU,P1CH 1.-
6 I~ USE o,-BUILDING
7 1i
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE q REMOVE '1,
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9 Describe work: 1· / -
~ f ~ I ) I J / a.A .J /; / l --. ,, -10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE / I PERMIT FEE -rJ ,, .
SPECIAL CONDITIONS: Type of Occupancy
Const. Group Division
Size of Bldg. No. of Max.
(Total) SQ, Ft. Stories 0cc. L oad
Fire Use Fire Sprinklers
APPLICATION ACCEPTED BY; PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone zone Required OYes □No
No. of OFFST REET PARKING SPACES:
__,, \ J( ---~ ' / • I' Dwelling Units Covered I U ncovered
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS A RE REQUIRED FOR ELECTRICAL, PLUMB· ZONING
ING. HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TI0N 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 CERT IFY THAT I HAVE READ ANO EXAMINED THIS
APPLICATION ANO 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.
SIGNATURE o,-CONTlllACTO" 0" AUTHOPUZED AGENT (DATE) ,
I
51GNATUfltE 0" OWMf.'JI , ,. OWN Elll au fLof,-, lDA,,.E)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION V' CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
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CITY OF CARL::, AD
BUILDING DEPARTMENT
729-1181 -Ext. 36
PERMIT NO. 70-'35I~ TOTAL FEE s /A~
or pp 1cen 0 I n UI 1ng ep. se n F A I' t t FIi I
Application for ELECTRICAL Permit
B ·1~ ?a -1P. lr~;J~95******12.Q0
PERMIT FEES: Each Fco
Item Recpt. Sw. BUILDING ADDRESS:
;);S 9(:, ~OSe 1/t?L·r
lighting fixtures wl ballast for each 10 $ 1.00
SI. Near
Elec. Ranges. Clothes Dryers. Water Healers .50
Elec. Space Heaters Dishwashers, Garbage OWNER: .)_A,,n /::J,,;; LJ / L"9R
Disposers, Auto. Washers, Sta. Cooking Units .50 ADDRESS: /.SoZ ,~,-3ro
MOTORS: P•r eoch motor H.P.
{J,,9/ 0 lo 1 $ .25 CITY: .5°.-/V/A ~/VA
1 to 2 $ .50 /
2 to 5 $ 1.00 TELEPHONE NO.
5 to 15 $ 1.50 State City Business /, 15 to 50 $ 2.50 License /IS"-3.-i'<,1 License S-d Jl
50 to 200 $ 5.00
SIGNS: Group C -/a Zone By
No. trans. Ea. $ 1.00
No. lamps over 50 ea. $ .50 Inspection Record:
SERVICE: 0 to 150 AMPS $ 10.00
/"oN"T. i:/~c.+. For each additional 100 Amps. $ 2.00 1/o -/??Ct!:Se
T emp. Power Pole. 100 AMPS or LESS $ 3.00
For Each add"! Meter, over one per service $ 3.00
MISC:
Approvals Date By.
SUPPLEMENTARY PERMIT FEE: S 2.00 Conduit
Temp. Power
TOTAL: s/;:J~ R. W1iina
F 1xtures
S.D. G. & E.
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FINAL:
WITH ALL CITY AND STATE LAWS REGULATING ELECTRICAL
WIRING. I CERTIFY THAT I AM PROPERLY LIC£NSED BY THE
CITY OF CARLSBAD AND THE STATE OF CALIFORNIA OR THAT
I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESI-
DENTIAL PROPERTY~
SIGNATURE OF C
PERMITTEE: '