HomeMy WebLinkAbout2718 ROOSEVELT ST; E; 63-5293; Permit✓
APPLICATION FOR Bu l L DING PERMIT 5293
CITY OF CARLSBAD -BUILDING INSPECTION DIVISION
PHONE PArkway 9-1181 -Ext. 36
Owner Name ~ .. ~~ .... Mailing
(Please Print) (Last) (First) (Middle)
Addross
Contractor -.J--<:;...--7 ....... . ........ .-............................... Mailing Address .... -.. =2-~~--:::::-?--;;::a~i:::_._....ci:::... __ _
( Please Print) Number Street City Phone
To Construct){_ To A~ To Alter D To Repair D To Convert D To Move From ·················,;;_-dd;~·~~································
Type of cL+.a-~ .... Kind of Foundation~.~ ..... No. of Stol'ies ..... / ....... To Be Used for .... s-:~ .... ...._ ......... .
( Fro me, Masonry, Etc.) ( Ono Family Dwelling, Store, Etc.)
Floor Space of Proposed Construction (sq. feet) ...... ~e?j!!.'.. ........... Const. Valuation $ ...... :✓.;.d_f._.t::.?. ....... ~ .............................................. .
attached D
Floor Space of Garage (sq. feet) ................................................. detached OConst, Valuation $ ..................................................................................................... .
LEGAL DESCRIPTION •••••••••••••••••••••••••••••••••••••••• .. •••• .. ••• .. •••••••••••• .. ••••••••••••u••••••••••-•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••U
Subdivision Lot Block
::~:;:: :;~,7;,i~:;~=;:::::: ~::: : _ '·:··hi~ : :: ···:·: :==:::
LAND AREA ...................................... NUMBER OF EXISTING DWELLINGS ON PROPOSED BUILDING SITE .................................................... (INDICATE
SIZE, USE AND LOCATION ON PLOT PLAN). WILL THIS CONSTRUCTION INCLUDE ANY PLUMBING INSTALLATION, ALTERATION, OR
ADDITION? YES-f ····· NO ................•
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
If a check is tendered fo r i::·ayment of the above fee and the check is
not honored when presented for payment, your Building Permit will be
immediately revoked.
Front Yard Set Baek .................................................................. .
Re"r Yard Set B"ck ..................................................................... .
Distance Botween Bldg ............................................................... .
Off Street Parking Spaces .......................................................... .
Sewago Disposal System ............................................................. .
Zone -Residential ( l ..................... ······································
Zone • Commercial
Variance
Eng. Cheek By ...............................................................................•
Driveway Permit Required Yes (
Grading Permit Required Yes ( )
No ( ) Fee ..................................... .
No ( ) ..................................................... .
Sewer Disposal Plant Capital Cont. Fee .................................................................... .
Sewer Pumping Station Capital Cont. Fee .................................................................. .
Sewer Main Line Cost ...................................................................................................... .
Sewer Lateral Connection Charge ............................................................................... .
Water Stocked Lands Charge ........................................................................................ .
Water Main Pipe Line Fee .......................................................................................... .
Water House Service Charge .............................................. . . . ................................ .
Water Meter Charge ....................................................................................................... .
Sub Total ..................................................................................... .
CITY OF CARLgAD
BUILDING DEPARTMENT
729-1181 -Ext. 36
PERMIT No.2f?76 0 TOTAL FEE $ {J-_,OO
Application for ELECTRICAL Permit
For Applicant to Fill In Building Dept. Use.,Qn,ly
PERMIT FEES· Each Fca OCI -l.f-Ol:1 :: cc ·Jc.':J ,..,,,..,,,..,. • .,.,. I
Item R ecpt. Sw. BUILDING ADDRESS:
(17 /frc;z,..;7 -" ,,ott-~ .
Lighting fixtures w1bal last for each 10 s 1.00
St. Ne,1r
Elec Ranges. Clothes Dryers. Water I lu,lters .50
OWNER(7~
,.
~_,, I"> ---✓--~ --~~ Elec. Space Heaters Dishwashers. Garbage ~ -,, (J Disposers, Auto. Washers. Sta. Cooking Units .50 ADDRESS:
MOTORS: Per each motor H.P.
0 to 1 s .25 CITY:
1 to 2 $ .50
2 to 5 $ 1.00 TELEPHONE NO.
5 to 15 s 1.50 State C11y Business
15 to 50 $ 2.50 License License
50 to 200 $ 5.00
SIGNS: Group Zone By
No. trans. Ea. $ 1.00
No. lamps over 50 ea. $ .50 Inspection Record:
SERVICE: 0 to 150 AMPS $ 10.00
For each additional 100 Amps. $ 2.00 'tJ,oO
Temp. Power Pole, 100 AMPS or LESS $ 3.00
For Each add'I Meter. over one per service s 3.00
MISC:
Approvals Dnte By.
SUPPLEMENTARY PERMIT FEE: S 2.00 Conduit
Temp. Power
TOTAL: s//}_,()(., R. Wiring
Fixtures
S.D. G. & E.
I ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND
STATE T HAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FINAL:
WITH ALL CITY AND STATE LAWS REGULATING ELECTRICAL
WIRING, I CERTIFY THAT I AM PROPERLY LICENSED BY THE
CITY OF CARLSBAD AND THE STATE OF CALIFORNIA OR THAT
I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESI
DENTIAL PROPE~
SIGNATURE OF_"1?_ ' ' . .,.., i.A., -~,.,~ ----PERMITTEE: • -,,. ._.r~-.. r, ---
./ --,.-/ , I
OU
...
ELECTRICAL PERMIT APPLICATION
'J;f-'3113
Permit No Applicant to complete numbered spaces only
City of CARLSBAD, CALIFORNIA 92008
Phone 729-1181
Joe ADDRESS
\( ,1.... L;Ot .. A 'r. \ \-
..;; . • 'J ,-1 I i ~"· .
':-~ ... iJ
LEGAL 1DESCR,
I LOT NO, I BLK. I TRACT <OsEE ATTACHED SHEET)
OWNER MAIL ADDRESS ZIP PHONE
2 v,n " ,,;,_, . ~ ·J 11 B \~ l ✓ .. It -::,\ ---
\ -A K":>~ tL.-1 .
3 CONTRO;~
f \ MAIL ADDRESS PHONE STATE LIC, NO. CITY LIC. NO,
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS 8RANCH
6 Wr\ ,,, ~"' .I
USE OF BUILDING ,,
7 ' ~OOITION
,
8 Class of work: □NEW 0 ALTERATION 0 REPAIR
J
9 Describe work: .
-PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE ..
... NEW CONSTRUCTION, FOR EACH
~LICATION ACCEPTEO ev: PLANS CHECKEO 8V APPRO\IEO FOR ISSUANCE 8V AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
fl: -.; 3~ 'l E 1l . DATE NEW SERVICE ON EXISTING BLDG .
FOR EA. AMPERE OF INCREASE la ..) $'" -::is. iJl NOTICE IN MAIN SERVICE, SWITCH, FUSE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-OR BREAKER
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE
APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCE~ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT TEMP. SERVICE UP TO ANO INCLUO· PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING ING 200 AMP. CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
AL~~ i'L JJ . TEMP. SERVICE OVER 200 AMP.
PER 100
-b--J 1 ,✓, I -
5'1GNATURE OF C1NTRACTOR OR AUTHO~IZED AGENT (DATE)
ISSUANCE FEE 2 C7J
I --; c..J/-,L£_,.,,_ /. .! ./ -l /; TOTAL FEES 'dt. li1 SIGNATURE O HER 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