HomeMy WebLinkAbout1851 TULE CT; ; 76-4686; PermitMOOEL NO. _________ _
BtJILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm it No
JOB AOOR C5$ ASSESSOR'S
/.~ ':>J TJ41--C P ARCEL NUMBER
L.OT NO. I 8LK I THCT
BOOK PAGE I PAR.
1 ~~;~~-·/ I tQsct ATTACH[O SHt£T)
OWNtR MAIL A00fll[5S ll P PMONC
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CONT"-ACTOllt MAIL AOORtSS PMON t STATE LIC. NO, CITY LIC, NO.
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·, I ~ . I ,/ I , .r r:7J7YH ll' 'J,?·, I J v, ' Alll(MITCCT Oft OtS-IC.Htllll MAIL AOOIIIICSS PMON C LIC CNS£ NO.
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CNGINC[R MAIL A00,-£55 PMONC LICCNS C NO.
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COMPENSATION INS. CARRI ER MAIL A OOIIICSS 8 1111ANCM
6
use 0,. BVILDINC.
1 I ,~. NO. BDRMS NO. BATHS -
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATIO N 0 REPA IR □MOVE 0 REMOVE
9 Describe work: l~: ,. I, ✓I ~· I .l,·/t (....
' •I, .. ✓ t'. I I,.,/, ✓ J I:, f. -;c,, ~ ,L
10 Change of use from Q l L."?/
Change of use to I
11 Valuation of work: $ I /~ ;£j-t)e:O PLAN CHECK FEE s /--1-I PERMIT FEE $ ,( (...
SPECIAL CON DITI ONS: MICRO FILM FEE Type of Occupancy
Const. Group
S,ze of Bldg. N o. o f Ma><.
(Total) Sq. Ft. Stories 0cc. Load
Fire Use I Fore Sprinklers
APPLICATION ACCEPTEO 8Y PLANS CHECKEO BY APPROVED FOR ISSUANCE 8Y Zone Zone Required 0 Yes □No
OFFSTREET PARKING SPACES: No. Of
'
No. Owelling Units No. DATE n .&'i"E Covered Sq. Ft. Open
NOT ICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING. HEALTH DEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.on 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. OTH ER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED T HIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE AND COR RECT. ALL PROVISIONS OF LAWS AND ORDIN A NCES GOVERN ING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, T H E GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOL ATE OR CANCEL T H E PROVISIONS OF A N Y OTH ER ST ATE OR L OCA L LAW REGULATING CON STR'JCT ION OR THE PERFORMANCE OF CONSTRUCTION .
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5 1GNATU,.C o, COP,,T"-ACTOIII 0,-AUTHOlttlCO AGCNT (DATC I
Slt:.NATIIIII[ n,: 0WN[III 1, OWN[ft I UILDl") (OATC)
WHEN PROPERLY VALIDATED (IN THIS SPACEI T HIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK . M.O. CASH PERMIT VALIDATION CK. M.O. CA SH
T OTAL FEES$ __ ,; _____ _
INSPECTOR