HomeMy WebLinkAbout2558 ROOSEVELT ST; ; 77-8642; PermitC
Ci!Y of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm It No 7 7.
JOB AOOR £55 ASSESSOR'S
2558 SEVEL T .. , l"J.Tn C'IUI\ PARCEL NUMBER
LOT NO, I ILS ITR;~.1.-.! SOOK
~;,;E I
PAR,
LE GAL I tOsct ATTACHED SHttT/ lotstR. Po~.Lot: 45 2 3 »
OWN[III M AIL AOOIIIE55 11. PHONE
2 CAll,SBAl) Of 'D•.&T.W11tC!, 2558 l.ooMYelt St., 92 729-1141
CON TIIIAC TOR MAIL ADDRESS PHONE STATE LIC, NO, CITY L IC. NO.
3 Oner/Wldcr
ARCHITECT OR OESIC.NUt MA.IL ADDRESS PHONE LICENSE NO.
4
ENGINEEI\ MAIL ADDRESS PHONE LICENSE NO,
5
COMPENSATION INS. CARRI ER MAIL ADDRESS BRANCH
6 S'UTL ! T~.•-w.iPAJm:S (;I, n..1.:1--~t. lOSO Hf.u:I• ha.. Oc-1cle. C .,
USE Of' &VILOING
7 Ulrectoi-a' .., . bl, Library T NO. B0RMS NO. BATHS
8 Class of work: □NEW 0 ADDITION ~LTERATION 0 REPAIR □MOVE 0 REMOVE
9 Describe work: panel.ling or dr,wall, j11M1latloa. electi'lcal light futures.
•1J.dq .,, __ .,. door -' coffee-ante• area with aiDJt & tertop, copboarda, _,, ata.ar◄ ~
10 Change of use from u ....... •
Change of use to tiq 111/Libnry
/1/ I ....
11 Valuation of work: $ 4,000.00 PLAN CHECK FEES PERMIT FEE $
SPECIAL CONDIT IONS: MICRO FILM FEE Type of Occupancy
Const. Group
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories 0cc. Load
Fire use Fire Sprinklers
APPLICATION ACCEPTED BY P~ANS CHECKED BY APPROVED f'()R ISS~ANC£ BY Zone Zone Required 0Yes 0No -r. ,
OFFSTREET PARKING SPACES: 1'·v . -~ N o. of
' /-(;)]~11 Dwelling Units No. I No. DATE DATE Covered Sq. Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL . PLUMB· PLANNING DEPT.
ING. HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,OR IF FIRE OEPT. .
CONSTRUCTION OR WORK IS SUSPENDED OR A BANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM·
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HA VE READ ANO EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WH ETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V IO LATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCA L LAW REGULATING CONSTRUCTION OR T H E PERFORMAN CE OF CONSTRUCTION .
--· .......... I ,lf'C:tURC ~F,tON(Ato: o• AUT~GENT (DATE)
{ -"""', 1 -~ ~ <1 -?117
SIGNAT llll[ onowNtlll I f' ow ... c 111 I U IL0["9:) {DATE}
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK . M.O. CASH PERMIT VALIDATION CK . M.O. CA SH
L✓ -
TOTAL FEES $ ____ / _____ _
INSPECTOR
• -REQUEST FOR
INSPECTION ,:; '. ?., ()
TIME -~{)~cJ"---------
Address ••
BUILDING PLUMBING ELECTRICAL MISCELLANEOUS
Insulation ................. O ...... O 0 Plenum & Ducts ....... 0
Drywall .................... O Gas .......................... O Pool Bonding....... O Porch ........................ O
Fdn. Forms .............. O Water Heater ............ O Temp Pole.. . .. O Patio ........................ O
Steel ........................ O Sewer ............... O ... O Driveway .................. O
Sheathing ................ 0 Undergrnd. Plbg ....... 0 Underground .......... O Sign .......................... O
Lath .......................... O Undergrnd, Water .... O ... 0 Wall .......................... 0
O Fence ...................... O ~········· .g1Rough ...................... □ ~············• .. ·········1,'JJ inal ........................ ~"···=--Chding .................... 0
Ready for Inspection --Mon., Tues., Wed.,
Special Instructions --
~ &(,( ?a --/~~-.
i/4 {U,)7
/ 2-~ 2 Z-7;?
r -" .. .,, c.,.• :11:a.6.2*•'-,. • * 7 '0 ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Permit No
JOB ADDRESS ~
11 '7f::,,,:J,,~
LOT NO, I BLK. I TRACT (QSEE ATTACHED SHEET) LEGAL I 1 DESCR. ,
OWNER ")
~~z-r
MAIL ADDRESS </Li.t ZIP PHONE
2 ✓
CONTRACTOR MAIL ADDRESS 7 PHONE STATE LIC. HO. C ITV LIC. NO.
3 ~o :it__.. ✓ •
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
4
ENGINEER MAIL ADDRESS PHONE LICENSE NO.
5
COMPENSATION INS CARRIER MAIL ADDRESS BRANCH
6
USE OF BUILDING
7
8 Class of work: □NEW 0 ADDITION 0 AL TE RATION 0 REPAIR
9 Describe work:
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS: SWIMMING POOL WIRING,
NO INCREASE IN SERVICE
NEW CONSTRUCTION, FOR EACH
Al'l'LICATION ACCEPTEO BY PLANS CHECKED BY APPROVEO FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
,
DAT~~• ~--.,t., _.,,, NEW SERVICE ON EXISTING BLDG.
NOTICE FOR EA. AMPERE OF INCREASE
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 {'fj I• MENCED. IN SERVICE, FOR EA. AMPERE OF
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS INCREASE 5 -APPLICATION AND 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 AND INCLUD· 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.
TEMP. SERVICE OVER 200 AMP.
PER 100
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) -! ,., ISSUANCE FEE --< i-
TOTAL FEES ~ ,tf:11. I~
s IGNAJURE of' N•R IF OWNER BUILDER! DATE "" -WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR