HomeMy WebLinkAbout2520 WILSON ST; ; 72-1070; PermitBUILDING PERMIT APPLICATION
Permit No. 2,,<-/C JC,,, City of CARLSBAD, CALIFORNIA 92008
Applicant u:complete numbered spaces only. Phone 729-1181
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LOT NO, _-
tOSEE ATTACHED SM[ET)
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OWNUt MAIL ADDRESS ZIP VI VI
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CON TlltAC TOR MAIL ADDRESS ' PHONE . _, __
3
A"9:CHITECT OR DESIGNER ._ MAIL ADDRESS
4
ENGINEER MAIL ADDRESS
5
MAIL ADDRESS
6
USE Of' BUILDING
7 I I /2 -' .J .. ' ... , , -
8 Class of work: □NEW ,~ADDITION 0 ALTERATION
9 Describe work:
10 Change of use from
Change of use to
PHONE LICENSE NO.
LICENSE NO.
BIU,NCH
0 REPAIR □MOVE 0 REMOVE (} -
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11 Valuation of work: $
SPECIAL CONDITIONS:
PLAN CHECK FEE
Type of Tl J J
Const. -l .
/' _) I PERMIT FEE ~ / ~ -~-~--"
Occupancy
7
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Group Division
Size of~ 1----------------------------~ (Total) Sq: Ft. />•/·•
1----------.----------..------------1 Fire APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Zone _....:::J'
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NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY T H AT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
P"RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OP' CONTRACTOR OA AUTHOAIZED AGENT (DATE)
,,, owN~" eu11 .. 01uo {O,-,TE)
No. of
Dwelling Units /
Special Approvals
ZONING
HEAL TH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
No. of
Stories I Max.
0cc. Load
Use Fire Sprinklers
Zo ne ( \ , / Required O Yes [mi/0
OFFSTREET PARKING SPACES:
Covered J ~ C.:,~~ncovered , ..:J
Required Received Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
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