HomeMy WebLinkAbout2659 STATE ST; ; 74-81; Permit1·
BUILD G PERMIT APPucsa.10N
/ City of CARLSBAD, CALIFORNIA 92008 1
Permit No. _ Applicant -to'--c-o_m_p_l_et_e_n_u~m-bered spaces only. Phone 7 29-1181
Joa ADDR [55
2659 STmT
LEGAL I 1 otstft.
LOT NO,
OWNE.1111 MAIL ADOIIIES.S ,,. PHONE
2 BARCO, 550 92008
CON TRAC TOIIII MAIL AOOIU:ss PHONE LICENSE NO.
3 DUD OStn!l&. 1,1, Laural s~ •• ~ ••A•. C.&1. 92054
AIIIICHITCCT OR DESIC;NtR MAIL ADDR£55 PHONE LICENSE NO.
4
ENG IN EE.A MAIL ADDA £55 PHONE LICENSE NO,
5
LCNOtR MAIL AODlll:£55 Bl'U,NCH
6
us~ 0,. IUILDING
7
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR □MOVE [}flEMOVE
9 Describe work: ,~---CAL -~-. .., . : •."I." R(")']I I
•• I I'.• ._ n-. .. r""II,~.._ -1• ·.a..■1---..
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE -o-I PERMIT FEE --
t-S_P_E_C_I_A_L_C_O_N_D_I_T_I_O_N_S_: ___________________ Type of
Const.
t-------------------------------1 Size of Bldg. (Total) Sq. Ft.
Occupancy
Group
No. of
Stories
Division
Max.
0cc. Load
Use Fire Sprinklers
•
0 ..
~ 0 z m
111 ► :n 0
0 lJ
111 VI VI
·:~ "' 'I \.
'
'~
.. ...
' ;
----------..--------------------Fire Zone APPLICATION ACCEPTED BY; PLANS CHECKED BY APPROVED FOR ISSUANCE BY zone Required OYes DNo
~
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 60 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 AND 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 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATUR£ or CONTRACTOR Oft AUTHOfllZE.D :,Sf.NT
't..,,../
lDATEI
SIC.NATUft£ o, OWN!" ll,. OWII UILDEA DATE)
No. of
Dwelling Units
Special Approvals
ZONING
HEAL TH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
DFFSTREET PARKING SPACES:
Covered I Uncovered
Required Received 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
INSPECTOR
-0
"' 3
:z
0