HomeMy WebLinkAbout1005 CARLSBAD VILLAGE DR; C; 74-1353; PermitApplicant to complete numbered spaces only
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 m^
Phone 729-1181 Permit No
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SPECIAL CONDITIONS
APPLICATION ACCEPTED BY PLANS CHECKED BY APPRQVEIXf OR ISSUANCE BY
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NOTICE '
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB
ING HEATING VENTILATING OR Al R CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC
TION AUTHORIZED IS WOT COMMENCED WITHIN 120DAYS OR IF
CONSTRUCTION OR WORK ISSUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM
MENCED
1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE 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 STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
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SIGNATURE OF OWNER (IF DWNEB BUILDER) (DATE)
PLAN CHECK FEE S P
Type of Occupancy
Const Group
Size of Bldg No of
("Total} Sq Ft Stories
Fire Use
Zone Zone
OFFSTREET PNo of
Dwelling Units ^° , cCovered a
Special Approvals Required
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
SNGINEERIMG DEPT
WATER DEPT
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MICRO FILM FEE
Max
Occ Load
Fire Sprinklers
Requ red QYes QNo
ARKING SPACES
No
q Ft Open
Received Not Required
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WHEN PROPERLY VALIDATED {IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
INSPECTOR
PLUMBING PERMIT APPLICATION
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SPECIAL CONDITIONS
APPLICATION ACCENTED BY,PLANS CHECKED 5Y APPROVED FOR ISSUANCE SY
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DATE/, "V^* / /
NOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK
TION AUTHORIZED IS NOT COMMENCED WITHIN
CONSTRUCTION OR WORK IS SUSPENDED OR ABA
PERIOD OF 120 DAYS AT ANY TIME AFTERMENCED
1 HEREBY CERTIFY THAT 1 HAVE READ AND E
APPLICATION AND KNOW THE SAfWE TO BE TRUEALL PROVISIONS OF LAWS AND ORDINANCES GC
TYPE OF WORK WILL BE COMPLIED WITH WHET
HEREIN OR NOT THE GRANTING OF A PERT
PRESUME TO GIVE AUTHORITY TO VIOLATE O
PROVISIONS OF ANY OTHER STATE OR LOCAL LA
CONSTRUCTION OR THE PERFORMANCE OF C
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
51 CNATl HE OF OWNER (1 F OWN ER BU 1 LDE R)
WHEN PROPERLY
OR CONSTRUC
60 DAYS OR IF
NDONED FOR A
WORK IS COM
XAMINED THISAND CORRECT
5VERNING THIS
HER SPECIFIED
vllT DOES NOT
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W REGULATINGONSTRUCTION
(DATE)
(DATE)
PERMIT FEES
No
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Type of Fixture or Item
WATER CLOSET (TOILET)
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP
DISHWASHER
LAUNDRY TRAY
CLOTHES WASHER
WATER HEATER
URINAL
DRINKING FOUNTAIN
FLOOR— SINK OR DRAIN
SLOP SINK
GAS SYSTEMS NO OUTLETS
WATER PIPING & TREATING EQUIP
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SEWER
CESSPOOL
SEPTIC TANK & PIT, vs« .* ,
ROOF DRAINS " "*
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PERMIT $
TOTAL FEE S
Fee
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VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
INSPECTOR