HomeMy WebLinkAbout1250 CARLSBAD VILLAGE DR; ; 75-750; PermitApplicant to complete numbered spaces only
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 ^ _
Phone 729-1181 Permit NO "75 '
JOB ADDB ESS ^ -
LOT SO BLK TOACT
1 OESCH
OWNER J ,f\ MAIL ADDRESS
_ f* if „ flj / . ,"•«» ,• ,
C.-i- *" "j ('- £ f iffff"^^^ ^^<>" £2 f ^ *.*fc) t£ • -"S? bf ^''ftf^Q.
CONTOACTOO - -, -,<"„ MAIL ADDRESS I
1 /v***" -X / V / = j. -, r "*~k- / / /
V- ; <-r/ // -v ^ x^/|' C -iVr .•5S"TF '.' O,*2'! f t\tir*iA**. V/*,s ,. **"//. J **-' />vvv\ ^- f
ENGINEER MAIL ADDRESS
5 *S»0^t . v *
COMPENSATION INS CARRIER MAIL ADDHESS
/' JO ^ "^j ff*fa} f /~" '
USEOF BUILDING '
8 Class ofjwork D NEW D ADDITION ^05 ALTERATION
9 Describe work >^v **•} — j~f" * ->~f~~" ^ ^
-
10 Change of use from
Change of use to
11 Valuation of work $ «*J.f ''"'W'jO
SPECIAL CONDITIONS
APPUCA_TNDN_ ACCEPTED BY PLAN^CHECKEDBY APPROVED FOB ISSUANCE a v
™k&o, k?£ O- . D5?cC (j
NOTICE £>~~//~7^
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
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
HEREIN OR ..NOT, THE GRANTING OF A PERMIT DOBS NOT
PROVISIONS OF ANY OTHE,R.5TATE OR LOCAL LAW REGULATING
t/fsZK.-fa&S?. { *jK£jP tfrf+J £*? s &/}/ /?**
^SIGNATURE of coNTHACTOB"ol»>tu THORIZED "AGENT1 / [DATE)
/ '
SIGNATURE Of OWNEf* (I F OWNER BVJ 1 L D E " ) ICAT6)
/ . , ASSESSOR S
* C* ' V <tf /y^f— !V PARCEL NUMBER
BOOK PAGE PAR
*
y". zi P PHONE ' (
PHONE LICFNSE NO *SJ,AJTC^ )r CITY
PHONE LICENSE NO
**
PHONE LICLNSE NO
BRANCH
D REPAIR D MOVE D REMOVE
'
PLAN CHECK FEE S " PERMIT FEE 5/Mf\ *^7 & Q" y fi 1 j ,f^^^i' •• %
MICRO tJlLM FEE
Type of Occupancy
Const Group
Si^e of Bldg No o( Max
(Total) Sq Ft Stories Occ Load
Fire Use Fire Sprinklers
Zone Zone Regu red Qves DNO
OFFSTREET PARKING SPACESNo o*
Dwelling Units Covered Sq Ft Opon
Special Approvals Required Received Not Required
PLANNING DEPT
HEALTH DEPT
FIRE OEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT
WATER DEPT
,
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION
INSPECTOR
CK M O CASH J&
o 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
j_pj3 u-r : - O-.-K --- G-r-e e n-
-11-75 Prywall- O.K. B Nelson