HomeMy WebLinkAbout2627 STATE ST; ; 73-491; PermitBUILDING PERMIT APPLICATIO ,
Permit No. /..; -4-'7/ City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 ,,., ~ ..
JOB ADDA £5S /, 0 ,._ 1 ' ----;~t. ~ 0 /" 7 d :---,. z a, --i . _y I "' ► I LOT NO. I eL~
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ARCHITl:-C.T c,,-O£,8f'tfrtt.R -, '"'/ MAIL IODRES.S PHONE LICENSE NO.
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ENGINEER MAIL AODIIIESS PHONE LICENSE NO. r
5 I?· 11\ .. -· LEN D£911 MAIL ADDRESS 8111:ANCH
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8 Class of work: □NEW Dj,061TION ~ AifO N 0 REPAIR □MOVE 0 REMOVE ~ 3 ';;;
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9 Describe work: /£ ~'-(,,(_,4i'f ~ .
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Change of use from I...,_
Change of use to c# ,A"f?,.,, --
,L;-, (J (, I PERMIT F:?'1,_--:1 c., 11 Valuation of work: $ 7 /,S-:(, 0 ----PLAN CHECK FEE -
SPECIAL CONDITIONS: Type of Occupancy ...L, -
Const. Al UA--. Group Division c--Size of Bldg. No. of ,,,.? Max. -(Total) Sq. Ft. IX'/ Stories ~ 0cc. Load
Fire u se Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR l~ANCE BY zone z one ~ Required DYes D,,,'5' --~j) No. of OFFSTftEET PARKING SPACES: .....J"Y . ,, I j Uncovered . Owelllng Units Covered
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-ZONING
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUC-/ TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT I / PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-t I / MENCEO. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ' f r APPLICATION ANO 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 J .I CONSTR~CTION OR THE PERFORMANCE OF CONSTRUCTION. , I I
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f"GNA"fUIIU'. o, CONTl'tACTOJI O" AUTHOl'tl~CD A.Gt.NT (DAHi \
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llltlGNATt1Jlt~ o, OWNER 1, OWNEA BUILDER) {DATE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK . M.O. CASH
INSPECTOR