HomeMy WebLinkAbout1089 CARLSBAD VILLAGE DR; ; 70-1212; PermitBUILDING PERMIT APPLICATION 1
Applicant to complete numbered spaces only
City of CARLSBAD, CALIFORNIA nRMs-TOS?1^ 958**'**"5C
X
cj"?' ^^Q^^^/pt^^
MAIL ADDRESS 7 I
JOB ADDH ESS
8 Class of work D NEW D ADDITION D ALTERATION REPAIR D MOVE D REMOVE
9 Describe work
A^
10 Change*of use from
Change of use to
11 Valuation of work $PLAN CHECK FEE
SPECIAL CONDITIONS Type of , .
Const I (/
Occupancy ^.—-y
Group ~^r~—Division
Size of Bldg
[Total) Sq Ft
No of
Stories
Max
Occ Load
APPLICATION ACCEPTED BV PLANS-CfTE^KET) 6V D FOR ISSUANCE BV
Fire
Zone
Use
Zone
Fire Spnnkfers
Required Qves ONO
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 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK (S COM-
MENCED
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THISAPOLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYRE 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
Special Approvals
ZONING
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
NATURE OF CONTRACTOR A/ TH O R I Z&B *G EN T
iR (IF OWNER BUILDER)1
Required 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
INSPECTOR
Form 100 1 9-69 REORDER FROM INTERNATIONAL CONFERENCE OF BUILDING OFFICIALS • 50 so LOS ROBLES • PASADENA CALIFORNIA 91101