HomeMy WebLinkAbout2650 ROOSEVELT ST; ; 76-191; PermitBUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No _, /
Joe ACOR css ASSESSOR'S _ ....... ...,,.o t,c._\ } --:-'V' ~ '.:1' PARCEL NUMBER
.. -LOT ~O. I BLK I TRAC T BOOK
PAG~ I PAR.
LEW I ,85Et ATTACHED $H(ET) 1 0,scR. .,J, I . -y C I~ -OWN£A MAIL ADDR£5S ZIP PHONE.
2 r ..... ~~ • ...A k'n ,N: v., VY-~~ ... : ·l..4T" ~,-....
CONTAACTOR MAIL ADDRESS Pl-40111 E LICENSE NO. STATE CITY
3 L J 1· '\ ,~ .... ,J1:l'--l (.._ ~;. c-1~~ ., . /,:,. ,..-,·/' -
AFtCHITECT OR OE51CNER I I MAIL AOOR:ESS ~-• PHONE LICENSE NO. -.
4 1, ,;..i:. . ' '-'• t, ... '-.....
ENGINEER MAil ADDRESS PHONC: LICE.NS[ NO,
5
COMPENSATION INS, CARRIER MAIL AOD,.ESS 8RANC~
6
USE OF" BUILDtNG
7
8 Class of work: □ NEW 0 ADDITION 0 ALTERATION □ REPAIR □ MOVE 0 REMOVE
9 Describe work : • J_J I( f '), )'llfl ~ll,i:.. Yl~--lt '"" ~L✓? ~-
10 Change of use from
Change of use to ..
11 Valuation of work : $ ?'?:22t;JCJ I od
PLAN CHECK FEES J PERMIT FEE $
SPECIAL CONDITIONS: MICRO FILM FEE Type of Occupancy
Const. Group
Size of Bldg. No. or Max.
(Total) Sq. Ft. Stories 0cc. Load
Fire use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE ev Zone Zone Required Dves □No
f,~ N o. of OFFSTREET PARKING SPACES,
DATE £ OATEi J ti Dwelling Units No. I No. Covered Sq. Ft. Opnn
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB• PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN l20DAYS, 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 ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS WATER DEPT. 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.
' ~-[ .; c_.• -, l.t:?
.SICNATUR[ 0,. C0NTAAC1'Oflt 01'11 AlJTHOAll.£0 A.GI.HT IOA.TE)
~,L.
-~
.... ,
SIGNATURE Of' OWNEPI (tf' OWNEJIJ ftUILOE.R) lD'4T£)
WHEN PROPERLY VALIDATED (IN THIS SPACE} THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION RECORD /}~ -/ CJ j
DATE REMARKS INSP~CTOR
FOUNDATIONS :
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCA ETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL 3-31-76 T. Mata
USE SPACE BELOW FOR NOTES, FOLLOW UP, ETC.
2-6-76 Very good footings. O.K. to pour: T. Mata
-~2~-~20-76 Ver o d dot on lath. O~~-~.-stuc_~o.
2-1 8-76 No roblems, ver goo_g__.i~ame. T. Mata --------------
ELECTRICAL PERMIT APPLICATION
C s C City of ARL BAD, ALIFORNIA 92008 7t -/9~ Applicant to complete numbered spaces only. Phone 729-1181 Perm it No.
JO a A.00" ESS
_,I
~ I
LOT NO, ,, I OLK I T~ACT (0Stt. ,t,.TTACHE.D SHEET) L~GAL t 1 DUCII, _ ,,,. ,,r-:.,.A,/
•. ..,....., 6
OWNEft t/ 'y "'4A1L AOO.-css 21 P PMOHC
2 I IJ_ev f< , .,( 0 .
CONTftA.CTOII ~/)u Ln,,>
MAily ADDAESS t.~/. b PHONE LICEN.St. NO, STATE CITY
3 ' ; .( ,, /~.-) ., .,. \
A"CHIT£CT 0111 01:SIGN!Pl r . ,-MAIL ADDRESS Pt-CON [ L.ICEN.!S[ NO. -
4
E.NG.IN£Elll MAIL ADDRESS PHONE. LICENSE NO.
5
COMPENSATION INS CARRI ER MAIL ADDAESS BRANCH
6
USE Of' BUILDING
7
I
8 Class of work : □NEW 0 ADDITION 0 ALTERATION 0 REPAIR
9 Describe work :
PERMIT FEES
No. Each Fee
SPECIAL CONDITIONS:
ISSUANCE OF EACH PERMIT
1, ...... f I
NEW CONSTRUCTION, FOR EACH
.t,PPLICATION ACCEPTEp BY • PLANS CHECKED BY APPROVED FOR ISSUANCE BY AMPERES OF MAIN SERVICE, SWITCH ,
FUSE OR BREAKER
/YV\ DATEc,(~~ '1//4 -• ·~
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 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A REMODEL, ALTERATION, NO CHANGE PERIOD OF 120 DAY~ 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 AND INC LUO· 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.
q,~. TEMP. SERVICE OVER 200 AMP.
PER 100
-
SIG-NATUIIII: OP' CON TflAC TOIIII 011 AUTHOflllllZED AGENT ""' IDATEJ
PERMIT FEE ut:1 .
•tCIN..&.TUflllt o, 1£ .. ltP' OWHl.ll eu1L.0E.,u {DATE)
WHEN PROPERLY VALIDATED ON THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH
INSPECTOR