HomeMy WebLinkAbout1060 CHESTNUT AVE; ; 73-2419; Permit• -. . •..... .. . ,
BUILDING PERM APLICATION
, ^ -/,-v City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only: "•'" -.-" PnORB 729-1181 . . \: ;, .
Permit No...
JOB ADDR ESS
. LEGAL'.
I DESCR.
MAIL ADDRESS'
CONTRACTOR '" 1.
3 '; .^ .^' ,,- ,
MAIL-ADDRESS LICENSE NO.
ARCHITECT"OR DESIGNER MAI L ADDRESS LICENSE NO.
ENGINEER .MAI L ADDRESS •LICENSE NO.
LENDER
6 • :•
MAIL ADDRESS
USE OF BUILDIN G
8 Class of work: .^.NEW DADDITldN . D ALTERATION D REPAIR DMdVE D REMOVE
9 Describe work:
10 Change of use from
Change of use to
11 Valuation of work: $~PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS: :Type of
Const.
Occupancy
Group Division
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
APPLICATION ACCEPTED BY,:PLANS CHECKED BY:APPROVED FORJSSUANCE BYV"? .• M- •
Fire
Zone
Use
Zone
Fire Sprinklers .. ,
'Required Dves DNO
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
Covered Uncovered
^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 D/^S, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK !Sr 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 NOTPRESUME 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
A :;v •••'• rr-. •••
5.
SIGNATURE OF OWNER"' (IF OWN'ER' BU ILDER1
WHEN PROPERLY /ALH&TED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK.' M.O. ." CASH • .PERMIT VALIDATION CK."* M.O."CASH
INSPECTOR