HomeMy WebLinkAbout1065 Magnolia Ave; ; 74-2025; Permit0 1
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 7
Applicanttocompletenumberedspacesonly. Phone 729-1181 Permit No.
JOB AOOA CSS ASSESSOR'S
/Of:J!:S /J7M Ml1Ct-~e... PARCEL NUMBER
LOT NO, _, I OLK I
TRACT e...,...,K PAGE I PAR,
LEGAL I
1 Y•1U / ,1 051!:£ A.TTACMt:O SHt.!.T) 1 Ot.SCIII. '3 c.., ""'
OWN(,. MAIL AOO,.ESS -ZIP PHONE.
2 ✓ Re.<-, ,,, -F ,I ~f I I •
CONT,.ACTOR MAIL AOOIIIESS PHON C LICENSE NO. STATE CITY
3
AACHITE.CT OA DESIGNCllt MAIL ADDRESS PHONE LICCN5£ NO.
4
£NGIN Et.A MAIL AOORESS PHONC LIC[N.S[ NO,
5 f ,cl /)/,.,J ; . --COMPENSATION INS. CARRI ER MAIL Aoo-.css BIIIANCH
6
use OF' BUILDING "',) 7 1 n
8 Class of work: 0 NEW 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
9 Describe work: E r-e,.c,f I "'4 ?.P.--.YIO {;l,wf'\.,~ IJ,J (!!.,,,,r ,,0 ..,J( l 6 f) r1 a .5 II'-J...,
(..J ..__) _j
10 Change of use from
-I'
Change of use to .
11 Valuation of work: $ l"-c;Y.~ PLAN CHECK FEE s I PERMIT FEE s ,,,,.:,~
SPECIA L CONDITIONS: MICRO FILM FEE
Type of Occupancy
Const. Group
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories 0cc. Load
Fire Use Fire Sprinklers
APPLICATION ACCEPTED BY PLANS CHECKED BV APPROVED FOR ISSUANCE BV Zone Zone Required □Yes □No
._,.,(, No. of OFFSTREET PARKING SPACES:
C. / Dwelling Units No. !No. DATE DATE Covered Sq. Ft. Open
N OTICE Special Approvals Required Received Not Required
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB• PLANNING DEPT.
ING, HEATING, VENTILATING OR AIR CONDI TIONING. HEALTH OEPT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN120DAYS. OR IF Fl RE DEPT.
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A SOIL REPORT
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. OTHER (Specify)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS ENGINEERING DEPT. APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS WATER DEPT. TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR THE GRANTING OF A PERMIT DOES NOT NOT, PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCT I ON OR THE PERFORMANCE OF CONSTRUCTION.
51GNATUfU o, CONT .. ACTO" 0" AUTHOIIIIZED AGE...-T (DATE)
,,
~IGNATV"E OIF OWM[" t ,-OWNt:" au ILDCIIII DATE}
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
INSPECTION RECORD
DATE REMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
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