HomeMy WebLinkAbout1860 VALENCIA AVE; ; 76-2902; Permit... ..
MODEL NO. __________ _
BUILDING PERMIT APPLICATIO~
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 7 29-1181 Perm II No
Joe ADDA css I L ~ .Ji,_ ',J-t 'I Is /) /.I
ASSESSOR'S I (e, 1,· /.I 11 le ' .' i ( I) PARCEL NUMBER
LOT NO. I OLK I TR ACT B..,,..,K P AGE I P AR,
L [ GAL I (0St( ATTACHED SH(ETI 1 0£5CR,
OWNtli'
/IL ·2:·J/;d/ / Jj'{"' I iJ j/; "7'7 y PHON E
2 Z°,.:, /_ J) Jl//1'/./ Ti' /:, 1'T
co'-' TlltAC TO,. r MAIL AOOA ESS I PHONE , STATE LIC, NO. CITY L IC, NO,
3
AACHI TCCT OR OC51GNC,. MAIL A OOR[SS PHONE LICENSE NO,
4
CNGINCC,. MAIL AOO!q[SS P HONE LlC CNS[ NO.
5
COMPENSATION INS, CARRIER MAIL ADDRESS IUU,NCH
6
\JS[ 0 ,. BUILDING
7 NO, BDRMS NO, BATHS
8 Class of work: □NEW 0 ADDITION 0 ALTER ATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: l/v }( /7,, G-/?;-;•,{ I)!/
I ' , I C:, (~ -D '-"' I <..1 LI I,/ l 1✓ l j•~ j {," /
I -
/ ,~
10 Change of use from
-
Change of use to
11 Valuation of work: $ I 7./'0 -/ ~ERMIT FEE S ? -PLAN CHECK FEES
SPECIAL CONDITIONS: MI CRO FILM F EE Type Of Occupancy
Const. Group
Size of Bldg. No. o f Max.
(Total) SQ. Ft. Stories 0cc. Lo ad
Fire u se Fire Sprinklers
APPLICATION ACCEPTE~ 8/ PLANS CHECKED BV APPROVED FOA ISSUANCE BY Zone Zone ReQuired 0 Yes 0 No
I N o. o f OFFST REET PARKING SPACES: -D w elling Units No. INo, DATE DATE Covered SQ, Ft, Open
NOTICE Special Approvals Required Received Not Required
SEPARATE PERMIT S ARE REQUIRED FOR E LECTRICAL, PLUMB-PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDITIONING, HEAL TH DEPT. THIS PERMIT BECOMES NUL L AND VOID IF WORK O R CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF F IRE DEPT.
CONSTRUCTION O R WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WO RK IS COM•
MENCED. OTHER (Specify)
I HE REBY CERT I F Y THAT I HAV E READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION ANO KNOW THE SAME T O BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS ANO OROINANCES GOVERNING THIS
T Y PE OF WORK WILL BE COMPLIED WITH WHET HER SPECIFIEO WATER DEPT,
HEREIN OR NOT, THE G RANTING OF A PERMIT OOES NOT PRESUME TO G IVE AUTHORIT Y TO V IOLATE OR CANCEL THE
PROVISION S OF A NY OTHER STATE OR LOCA L LAW REGUL ATIN G CONSTRUCTION OR THE PERFORMANCE O F CONSTRUCTION .
SIGNAt.Ulllt o, C7 T,ijACT0" Ollt AU THOfllll(O AG£NT
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(DATE )
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SIGNATu ,u 0 ,. OWNElll u r OWN[III 9 UILO[IIII I' ,r (OA T C)
VVJ(EN PROPERt.Y VALIDATED {IN THIS SPACE I THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION
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TOTAL FEES $ __ _,) ___ f ___ _
CK . CASH -
INSPECTOR