HomeMy WebLinkAbout2522 VIA ASTUTO; ; 74-1227; PermitG PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 "" .,.. rr~.1 -••:U
Applicant to complete numbered spaces only Phone 729-1181 Permit No..-:a/--l.-,'2. 7
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MAIL ADDRESS c.
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ASSESSOR'S
PARCEL NUMBER
BOOK P AG E I PAR,
CONTRACTOfll: MAIL A DD,-CSS PHON E LICENSE. NO. STATE ICITY
3 s;,,,,c r>:. ill;jt)llf£
Afll:CHI TCCT Ofll: DESIGNER MAIL A0OA[$$ PM ONE LICENSE NO.
4
ENGINEER MAIL AOORE.5S PHONE LICENSE NO,
5
.;i,-$=0MPENSATION INS.
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CARRI ER
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MAIL AOOIIIESS
7
8 Class of work: }'q'NEW "\(ADDITION )□ ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: y,..,,.,. _ •• n7
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10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE sf"')
1-S_P_E_C_I_A_L_C_O_N_D_I_T_I_O_N_S_: ___________________ Type of
Const.
1-------------------------------1 Size of Bldg. (Total) Sq. Ft.
i------------------,..----------.---.---------4 Fire
APPL1CAT10N ACCEPTED BY PLANS CHECKED BY ,JI YJ"'
0
A; oE•veo: ,s/~;i.:vJ ::~:f
DATE l:o'...e: / /1-./flq Dwelling Units
NOTICE /
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLU~B-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN120DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
Special Approvals
PLANNING DEPT.
HEAL TH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
Occupancy
Group
No. of
Stories
use
Zone
1 d ,_,
PERMIT FEE s/-f
MICRO FILM FEE
Max.
0cc. Load
F ire Sprinklers
Required 0 Yes D No
OFFSTREET PARKING SPACES:
No.
Covered
Required
SQ. Ft.
Received
INo. Open
Not Required
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ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED 1---------+--------4--------1--------1 HEREIN OR N OT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER S'TATE OR LOCAL LAW REGULATING CONSTRUCTION O R THE PERFORMANCE OF CONSTRUCTION .
SIGN~TtJfU. 0,. CONTIIIAOTOJ\, 0111 AUTHOIIIIZED AGENT
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(OATE)
SIGN.AT •U 0,-OWNEIII I,. OWN[!I' BUILDER) I , 111'.AT[)
WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL 7-/?J.; ✓ ~ ~ T;?//4µ,,
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
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