HomeMy WebLinkAbout1207 CARLSBAD VILLAGE DR; ; 74-2361; Permit*BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only PhORe 729-1181 Permit No
JOB ADDRESS
120? Kim Area**
LOT NO BLK TRACT
IDESCR 17-24 *6 " H«j» 535
OWNER MALL ADDRESS
2 Colonial &allw Ltd. Po«t Of£ic« Sen
CONTRACTOR MAIL ADDRESS
3 *ob*rt L» «at«cn & 4«t«e« ?««t Offlc* *ox
ARCHITECT Of) DESIGNER MAIL ADDRESS
4 Carl it$aS0$t*& Assoe 1125 Cntine &•! &
ENGINEER MAIL ADDRESS
5
COMPENSATION INS CARRIER MAIL ADDRESS
6 '
USE OF BUILDING *"
7 &«£** btflti layr*Tiatnt«» Col«w»i*l Hall, Lt4*
8 Class of work Jll^^^^AD^inilON'/^^ ALTERATION^
* *! T/*^ ^_*a*H**^&ifTt*m'*«v( imUVH * ^*>.'"-fc*w''^^
9 Describe work ' !,«•«« bold lapTO^«»«»t» *« f*T pi
j«-*
10' Change of use from
Change of use to
11 Valuation of work $ JujJQQ^OQ
SPECIAL CONDITIONS
-T-
-'"i
/ ti /
APPLICATION ACCEPTED BV^ PLANS CHECKED BY APPPOVECT*FOR ISSU*V^CE/BV
•*1»^-*^ if J* **&& / ># ///f*?fjDATE ^ y l r rjA/I //7/////y
NOTICE -'* / V /
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB
ING, HEATING VENTILATING OR AIR CONDITIONING
TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
MENCED
1 HEREBY CERTIFY TH^T 1 HAVE READ AND EXAMINED THIS
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
HEREIN OR -NOT, THE GRANTING OF A PERMIT DOES NOT
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
\* t ~ «f Vi>v ^"^~_ K «iA.ii4L w it e* -S!5'V «. •>
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
I
'SIGNATURE OF OWNER (IF OWNlrR BUILOEH1 (DATE]
ASSESSOR S
PARCEL NUMBER
BOOK PAGE PAR
I 1 P PHON E
s 275 r*v**i>** *200* 729-4901
* PHONE LICENSE MO STATE CITY
275* C«rlsU*» 92008 20*63* 7034
PHOU E LI C EUS E MO
tr
PHONE LICENSENO
BRANCH
xO REPAIR D MOVE Q REMOVE
Lan. D««ti«t Office
'
PLAN CHECK FEE S PERMIT FEE S **t*~f3\^ -*~~~~"
MICRO FILM FEEType of ._ Occupancy
Const if -Group
t ^Size of Bldgj,*1**"!^ No of Max
(Total) So^Ft Stories -**" '****~ ^Occ^Load> _ —v -"^ ""«**_,..
Fire Vw^—**^1^ UseV,* ^-^-^S-— "^ 5lre Sprinklers
Zone Zone •** Requ red Qves DNO
OFFSTREET PARKING SPACESNo of
Dwelling Units Covered Sq Ft Open
Special Approvals Required Received Not Required
PLANNING DEPT
HEALTH DEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
WHEN PROPERLY VALIDATED ON THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
INSPECTOR
o
INSPECTION RECORD
FOUNDATIONS
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