HomeMy WebLinkAbout2808 ROOSEVELT ST; ; 77-1577; PermitMODEL NO. _________ _
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 7 29-1181 ~M\rlti>N1J r'~e,t)•..738'\.65
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ASSESSOR'S
PARCEL NUMBER
PAR.
2
MAIL ADDRESS BRANCH
6
7 NO. BORMS NO. BATHS
8 Class of work: ~ATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work:
10 Change of use from /J/0 C!/7",/f ~
Change of use to -
11 Valuation of work: $ 5t:J t:JtJt}
1-S_P_E_C_I_A_L_C_O_N_D_IT_I_O_N_S_: __________________ ----1 Type of
Const.
t----------------------------A--~ 'Size of Bldg. (Total) SQ. Ft.
DATE
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB·
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO 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 CONST TION OR THE PERFORMAN OF CONSTRUCTION.
IDATC)
3-r:9;;-77
DATE)
N o. o f
Dwelling Units
Special Approvals
PLANNING DEPT.
HEAL TH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
No. of
Stories
use
Zone
PERMIT FEE S
Max.
0cc. Load
Fire Sprinklers
Required Oves 0 No
OFFSTREET PARKING SPACES:
No. Covered
Required
Sq. Ft.
Received
No. Open
Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $