HomeMy WebLinkAbout2727 ROOSEVELT ST; ; 73-12; PermitBUILDING PERMIT APPLICATION
/7 :?-/':1 City of CARLSBAD, CALIFORNIA 92008 Perm i.t No. -.i'--"-"~----.s.---~=
Applicant td complete numbered spaces only. Phone 7 29-1181 -"
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f!1 ► LOT NO. # I ILK I TOACT l1 0
LEGAL I (05(1. ATTACHED SHEET) 0 1 DE5C ... l1
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OWN£" -MAIL ADOlltt:SS ZIP PHONE. Ill
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2 / Al .· !.//.---h-//,-//, ,. I\. -\J CONTIIIAC'rOflt -! . MAIL. ADDRESS __,,.,.,.,, ./. PHONl 'if-:Jo~ /ICtNSE NO. /3/~ _. -.. 3 , I /. l /J A /. )Mk -f ·fJ,. , ~
Aflll:CHITCCT Oflll: 01.SIGNEllt MAIL ADDRESS PHONE , LICENSE NO. '·, ~ 4
ENGINttlll MAIL ADDRESS PHONE LICCNSt: NO. ~ 5 -1, -1'.",: '>-. LENOt:111 MAIL ADDIIICS.S B"ANCH
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u•1. OP' •UILOING ",.,
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0LTERATION .l
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8 Class of work: □NEW 0 ADDITION 0 REPAIR 0 MOVE 0 REMOVE 3 --.; ~ ::z
9 Describe work: _/,, / /~ /, /1.ntf .. J: ? ~,, /: ... -· / --. r
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10 Change of use from
Change of use to
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11 Valuation of work: $ /j -)/,, "i --I PERMIT FEE ~ c:;o
PLAN CHECK FEE -•
SPECIAL CONDITIONS: Type ol Occupancy
Const. Group Division
Size ol Bldg. No. of Max.
(Total) Sq. Ft. Stories 0cc. Load
Fore use Fire Sprinklers
APPLICATION ACCEPTED BV PLANS CHECKED BV APPROVEO FOR ISSUANCE BV Zone Zone Required OYes □No
' "~·-· N o. of OFFSTREET PARKI NG SPACES:
I l\ . f Dwelling Units Covered I Uncovered
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-ZONING
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR C0NSTRUC-
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 CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO 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.
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.SfGNATUll'I( o, CONT .. ACTOll'I Ofl AUTHOfUllD AGE'."NT (DAT[)
SIGNATUll'lt o, OWNCfl IP' OWNE.111 8UILO[N 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