HomeMy WebLinkAbout2501 STATE ST; ; 76-43; PermitBUILDING PERMIT APPLIC Tl0N .00
City of CARLSBAD, CALIFORNIA 92008
Applicant tocompletenumberedspacesonly Phone 729-1181 Permit No Z?-43
JOB A.DOR [SS ASSESSOR'S
')..50 ' -:;>\/\\._ _, PARCEL NUMBER
rT NO, I 9 LK I TR~t-A ~\.Y ~ BOOK PAGE I PAR.
LtOAL I ' . I 5 (□SEC ATTACMCO SMCCTJ 1 D£.SCR, /(,} \"-...
OWN CR MAIL AOOIIICS5 ';i~G-t \l I PHONE
2 r:.tJL..'-\ GA t-\. ~su, -s,1.T,:_
CON TRAC TOIII MAIL "-OO RESS PHONE LICENSE NO, ST ATE CITY
3 1, \-v'\ ,_ -ARCHI TCCT OR DESIGNE R MAIL A DDRESS PHONE LICENSE NO.
4 C.. r-. ,...A G t~.J-HE r--
ENGINEER MAIL AOORE.SS PHONE LICENSE NO.
5
COMPENSATION INS, CARRI ER MAIL AOOlltESS BJIU,NCH
6 WfL .J >< v,-,, r,i:,c,; -\\-\ILL-
use 0,. 8UILD1NG
7 = ~
8 Class of work: □NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE ~ •• ~:EM~v~.//
9 Describe work: \.Lh: .. MOuG:.. t:._..x , s·,, \'1 ~ \_,I\~/ '--\3 u \ t-.Y \l½,
! ~ ~
I {_(JX.. s ,-z..e.. L.\-b X t:'.l-S
10 Change of use from
.
Change of use to
11 Valuation of work: $ I ~ -PLAN CH ECK FEE r" ... -PERMIT FEE $ -/
SPECIAL CONDITIONS: MICRO FILM FEE
Type of Occupancy
Const. Group
Size o f Bldg. No. of Ma><.
(Total) SQ. Ft. Stories 0cc. Load
-Fire Use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPWED FOR ISSUANCE BY Zone zone ReQuired O Yes □No
~ ,_,,; .. -l, No. of OFFSTREET PARKIN G SPACES:
Dwelling U nits No. !No. DATE Covered SQ, Ft. Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMI TS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING 0EPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN120DAYS, 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 AND EXAMINED THIS ENGINEERING DEPT. 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 WATER DEPT.
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V IOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
-SIGNATU1·1,•Ac To:..o• ,.u THOR IZED,...G ENT (OAT£)
/ , / ) ~ ' /;(/4 t/(:,/r-">
5IGNATUIII£ 0,-OWN[llt u, OWNCllt IIUILOCllt) , DATE)
WHEN ilROPERLV VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M .O. CASH PERMIT VALIDATION CK . M.O. CASH
INSPECTOR