HomeMy WebLinkAbout1060 CHESTNUT AVE; ; 71-974; PermitBUILDING PERMIT APPLICATION
eity bV CARLSBAD, CALIFORNIA; v-,,ia
Applicant to complete numbered spaces pijly.
JOB ADDR ESS
LEGAL
[DESCR.
ATTACHED SHEET)
CONTRACTOR MAIL ADDRESS LICENSE NO.
ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO.
MAI L ADDRESS LICENSE NO.
MAIL ADDRESS
USE OF BUI LDI NG
^>b .
8 Class of work: D NEW D ALTERATION D REPAIR 0MOVE ' D REMOVE
9 Describe work:
10 Change of use from
Change of use to
11 Valuation of work: $ „,/PLAN CHECK FEE PERMIT PEE
SPECIAL CQNDJflONS:Occupa
Gro
upancy «r » ^
UP .\Division
Size of Bldg.
(Total) Sq. Fl
Max.
Occ. Load
APPLICATIONACCEPTED BY:PLANS CHECKED BY:APPROVED FOR ISSUANCE BY
Fire
Zone
Fire Sprinklers
Required Dyes E^fJo'
No. of .
Dwelling Units /
OFFSTREET PARKING SPACES:
—• UncoveredCovered
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AIR CONDITIONfNG.
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 THAT I HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL 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 THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR--THE PERFORMANCE OF CONSTRUCTION.
Special Approvals
ZONING
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
Required Received Not Required
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH . PERMIT VALIDATION CK.M.O.CASH
' INSPECTOR
Form 100.1 9-69 ;. REORDER FROM: INTERN ATIONAL CON FERENC E OF BUILDING OFFICIALS • so so. LOS ROBLES • PASADENA, CALIFORNIA 91101
ELECTRICAL PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA
Applicant to complete numbered spaces only--ft-71.a-..r-,i.
JOB ADDRESS f
' —
(QSEE ATTACHED SHEET)
MAIL ADDRESS
CONTRACTOR MAIL ADDRESS LICENSE NO.
ARCHITECT OR DESIGNER MAIL ADDRESS LICENSE NO.
ENGINEER
5 AL
MAIL ADDRESS LICENSE NO.
MAIL ADDRESS
USE OF fiJliLDING
8 Class of work: D NEW DITION D ALTERATION D REPAIR
9. a-*—*
0
SPECIAL CONDITIONS:
PERMIT FEES
RECEPTACLE
LIGHT
SWITCH
Total
Outlets
No.Each Fee
APPUfiAIJON ACCEPTED BY: PLANS CHECKED BY:
LIGHTING
FIXTURES
Total
Fixtures
RANGES CLO. DRYER WTR. HTR.
. NOTICE
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.
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 THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOTPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATINGCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
GARBAGE DISP. STA. COOK TOP
DISH. WASH.CLOTHES WASH.
SPACE HTR. STA. APPL. Vz H.P. MAX.
MOTORS:
SIGNS
H.P.
NO. TRANS.
NO. LAMPS
TEMP. POWER DPOLE DuNDGD.
NATlTRE OF CONTRACTOR OR lUT-rfORIZED AGENT (BATE)
SERVICE
D NEW
J3 CHANGE
0-200A
201-400A
401-600A
OVER 600A
PERMIT ISSUING FEE
SIGNATURE OF OWNER (IF OWNER BUILDER)(DATE)TOTAL FEE .* <7 23
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.M.O.CASH PERMIT VALIDATION CK.M.O.CASH
INSPECTOR
Form 100.3 9-69 REORDER FROM: INTERNATIONAL. CONFERENCE OF BUILDING OFFICIALS • so so. LOS ROBLES • PASADENA, CALIFORNIA 9M01