HomeMy WebLinkAbout1019 DAISY AVE; ; 77-1260; PermitMODEL NO
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only PnOnS 729-1181 Permit No
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^ :. Cft N O 6 L K TRACT •/LEGAL1 DESCR if IsCE ATTACHEC
OWNER f t MAIL ADDRESS ZIP
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ASSESSOR S
PARCEL NUMBER
BOOK PAGE PAR
PHONE
CONTRACTOR MAIL ADDRESS / PHONE'"1 STATE LIC NO CITY LIC NO
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ENGINEER MAIL ADDRESS PHONE
5
COMPENSATION INS CARRIER MAIL ADDRESS
6
USE OF BJILOING
NO BDRMS
LICENSE NO
BRANCH
NO BATHS
8 Class of work D NEW D ADDITION D ALTERATION D REPAIR D MOVE D REMOVE
9 Describe work j.x' / ?> It ft ,, \.< t> *
$
10 Change of use from
Change of use to
,, ,, , i , » f* -• *.' ' O11 Valuation of work $ .*/ 1 > -^
SPECIAL CONDITIONS
APPLICATION ACCEPTED BY PLANS CHECKE D BY APPROVE D FOR ISSUANCE BV
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i '• I" \
DATE-~^ DATE
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 120 DAYS OR IF
CONSTRUCTION OR WORK IS SUSPENDED 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 THISAPPLICATION 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
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION
v „/ ,-, 1 / \1 y
\f' ) /J,*. > i-' >XSIGNATURE"OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
/<
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
PLAN CHECK FEE S „/ "~ ' P!.-**
Type of Occupancy
Const Group
Si^e of Bldg No of
(Total) Sq Ft Stories
Fire Use
Zone Zone
OFFSTREETFNo of
Dwelling units N°vered c
Special Approvals Required
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
ERMIT FEE S
MICRO FILM FEE
Max
Occ Load
Fire Sprinklers
Required QYBS DNO
'ARKING SPACES
INo>q Ft |Open
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
TOTAL FEES $.
INSPECTOR
INSPECTION RECORD
FOUNDATIONS' ; 1
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMiNG
INT LATHING OR DRYWALL
EXT LATHING
MASONRY
FINAL
DATE REMARKS INSPECTOR
USE SPACE BELOW FOR NOTES FOLLOW UP, ETC