HomeMy WebLinkAbout2813 VIA DIEGO; ; 75-1274; PermitG PERMIT APPL1c-TION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only Phone 729-1181 Permit No -
Joa AOOA [55 -, , ASSESSOR'S
J-$'/3 J/1tl I,//<-~,o -r-PARCEL NUMBER
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LOT NO, I BLK
I T•Ac T .J BOvK F'AGE I F' AR,
LEGAL I tOscc ATTACH£0 s Mt.£.T) 1 OESC •.
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2 OJ~"" ,·cl/ .. MAIL AOOA[SS ,i ZIP PHONE
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CONTRACTOR MAIL ADDRESS V PHONE LICENSE NO. ST ATE CITY
3
AlltCHITECT OR DESIGNER MAIL AOOA[SS PHON C LICENSE NO,
4
[NG\NCC.R MAIL AOOACSS PHONE LICENSE NO.
5
COMF'ENSATION INS. CARRIER MAIL AODlltESS BJIIANCH
6
USE OF' BUILDING
7 ,, 1 ,, "'-
8 Class of work: 0 NEW ,gJ ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: bci77o sJ, £< .. "1/t r or-272 ., ,... ./ .,,r'( . tJ I/ -
,.
10 Change of use from oper1 ,:;a rtl>
Change of use to eJ4-,,'kl'/ .naT/o
Valuation of work: $ ~ 0'0 __ r l /
11 PLAN CHECK FEES Pl;RMIT FEE S ,"J •
SPECIAL CONDIT IONS: MICRO FILM FEE
Type of Occupancy
Const. Group
Size of Bldg. No. of Max.
(Total) SQ. Ft . )' Stories 0cc. Load
Fire use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FO~ISSUA;CE BY Zone Zone Required DYes □No
• /',l,J/15 No. of OFFSTREET PARKING SPACES:
,/ /-. Dwelling Units No, INo.
OATE DATE, Covored SQ, Ft. Open
NOTICE I Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB· PLANNING DEPT,
ING, HEATING, VENTILATING OR AI R CONDITIONING. HEALTH DEPT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC·
TION AUTHORIZED IS NOT COMMENCED WITHIN120DAYS, OR IF FIRE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD O F 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS ENGINEERING DEPT. .i;·,. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. --ALL PROVISIONS OF LAWS AND 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 GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER ST ATE OR LOCAL LAW tGULATING
CONSTRUCTION OR THE PE::IFORMANCE OF CON TRffON._
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51GNATU .. t o, CONTAACTO" 0,. AUTHO,.I ZtD AGtNT ' IOATl)
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91GNATU,.E 01" ~NER Tf'F OWNER BUILDE,.. OAT[)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS VOUR PERMIT
PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR