HomeMy WebLinkAbout2598 STATE ST; ; 79-333; PermitMODEL NO. _________ _
G PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No 7 9--J 3 3
JOB ADOllt ESS 2.s-?J-' fT/f 7 c.-S??f ct;-?-1/30/79' l~SSOR 'S
CEL NUMBER 7.50 Bl'
LOT NO, , •L•,nd.P I T7e::Lo·/e.
BOOK PAGE I PAR.
LEGAL I L~lh/{' ,□sec ATTACHED SHCtTJ 1 DtSCR, -,1:sc, l7'2-v _/ -, -I
ow"'"f/1/i ir-~e d ff -~ra.J/JU,rj/MAIL ADD•<•• A CdJ'Jti/~ld Sc'li1}J?.ctdtJ~"9;,2 if;1f)4tfJ'lJ'lt? 2 ~CJ.J'e /f. J!IYd '6tt-y// /2-bOi' .{'<!)?/a
CONTRACTOR ., MAIL ADDRESS PHONE / STATE LIC. NO. CITY LIC. NO.
3 0/r t1,' C ~
ARCHITECT OR OCSIGNCR MAIL AOOAESS PHONE LICENSE NO.
4 /J'tl#L-
5 [NGIN#t' ,I/£ MAIL AOOACSS PHONE LICENSE NO.
COMPENSATION I NS. CARRI ER MAIL AODIIIIICSS 9 ,-ANCH
6 ~ ------.__ ,. .
US[ OF BUILDIN G
1 Con, /?J erc1al Nd//~ CMC/c'/r)?/ NO. BORMS Cl 2--NO. BATHS
8 Class of work: 0 NEW 0 ADDITION ...QrALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe ~1 p;r¥1., 4 AJ t:t'-Utij> ; f'r hJ!/1 .)':Jr ~tt:Pl p/~,✓11rf%a£~ct C,4'%vt1: b1 -;tt ,,,., b " ,.,,,_ • A J-,,/k t: c. ,;:.S ~ . 4,a,r ,,, ..,J • 'e rn ~ ---. r
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10 Change of use from
Change of use to
11 Valuation of work: $ 300 · tJO PLAN CH ECK FEE S ;;; _)~ PERMIT FEE S s-~: ~
SPECIAL CONDITIONS: MICRO FILM FEE
Type of Occupancy
Const. Group
Size of Bldg. No. of I Max . ,.,.-----(To~I) Sq. Ft. Stories 0cc. L oad
/tf /.t'°\ ~e Use C/11 ,t1P Fire Sprinklers ~""' "" ;p," .. '"~ "'fru ·1, ;7,," '""'""' .. Zone zone Required O Yes ONo pl /-30~/f L ·• ~~ I~ N o. o f OFFSTREET PARKIN G SPACES:
Dwelling Units No. !No. DAT .,......___~ ~ t:Tr'E ~ ,-, J, _.... Covered Sq. Ft. Open
'--NOT~ 'l ~ if Special Approvals Required Received Not Required
SEPARATE PERMITS ARE ~~QUIR D ORJ ECTRICAL, PLUMB PLANNING DEPT.
ING, HEATING, VENTI LATIN ·~ CON IONING. HEAL TH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 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 H EREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ENGINEERING DEPT.
ALL PROVISIONS OF LAWS ANO 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 G IVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
5tGNATURC o, COHTl'tACTOfll OR AUTHOfltlZCD AGENT IOA.Ttl
,JI,~ ~//4/ ."TA-I/ JtJ /~'7Y
g'jGNATV ftt o, OWNER IIF OWNC_,.BUILO[i.) 1mA, TC)
/ WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M .O. CASH
0-0
TOTAL FEES $ ___ .. ..c.7 _____ -__
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