HomeMy WebLinkAbout1255 CYNTHIA LN; ; 74-2366; Permit-V*-' T'.' J'l*£«,i, ,.%• •*'
BUILDING PERMIT APPirOCTION
City of CARLSBAD, CALIFORNIA 92008,
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Applicant to complete numbered spaces only Phone 729-11®t Permit No
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PARCEL
LE5/M.DESCR ICC ATTACHED SHEET)
TCTSOWNER MAIL ADDRESS ZIP RHONE tjttf-"^^£ff).2W&. $ PU«.).trfwA«T»4t^AJr> it>H »)£U*VM/M V*r«u At^^or ^?^s$™2
i . , . ... . * • n . i'ui. iiiji ....CONTRACTOR MAIL ADDRESS LICCNSC HO
ARCHITECT OH DCSICHCR MAIL ADDRESS LICENSE MO
MAIL ADDRESS LICENSE NO
COMPENSATION INS. CARRIER MAIL ADDRESS
USE or *uit.i»N«
I Clan of work: DNEW ^VOOITtON D ALTERATION D REPAIR D MOVE D REMOVE
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P..'
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10 Chwi|> of ute from
Change of ute to •;*
11 Valuation of work:*PLAN CHECK FEE $PERMIT FEE *
SPECIAL CONDITIONS Type of
Const
Occupancy
Group
Size of Bld«
(Total) Sq Ft
No of
Stories
Max
OCC.UM*
APPLICATION Accerrf o av
DATE
tl FOR ISSUANCE BY
Fire
Zone
Use
Zone
No of
Dwelling Units
OFFSTREET
NoCovered
DN
Sq Ft
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 120DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THISAPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THISTYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEDHEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOTPRESUME TO QIVE AUTHORITY TO VIOLATE OR CANCEL THEPROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING^ PERFORMANCE OF CONSTRUCTION
Special Approvals
PLANNING DEPT
HEALTH OEPT
FIRE DEPT
SOIL REPORT
OTHER (Specify)
ENGINEERING OEPT
WATER DEPT
*^i 'flU«~. //- / S A
Required /lltet Required
SIGNATURE OF CONTRACTOR 0* AUTHORIZED AGENT
SIGNATURE OF OHHHR (ITOWNIR »UILD1RI I°*TE)
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLAN CHECK VALJDATION CK MO CASH PERMIT VALIDATION CK M.O.CASH
INSPECTOR
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
^5-75 O.K. to pour as per Richard Osburn,
Multiple Res . Tract
or
Inspector
Owner.
Address
Address
REQUEST FOR
INSPECTION
H]« Mobilehome Park
ID# Space #
Permit No .//--a4
(^^LsT^JrL*^-
/) BUILDING
-JJ/*fa
// I 'raun Forms
Steel
Sheathing
Lath
Frame
Final
nnnnnnnn
PLUMBING
Gas
Water Heater
Soil Line
Un'dergrnd Plbg
Undergrnd Water
Rough
Final -£^>,
nnnnnnnn
ELECTRICAL (J
Pool Bonding
Pole
Pump
Underground
Ceil Heat
Rough
Final
nnn
nnnnn
MISCELLANEOUS
Porch
Patio
Driveway
Sign
Wall
Fence
Grading
nnnnnann
Ready for Inspection -
Special Instructions --
Requested by
Phone number
Tues ,/ Wed , Thurs
f
Person Taking Report
Q Residential
Q Multiple Res
or Commercial
Inspector
Owner
Address
Address
Fdn Forms
Steel
Sheathing
Lath
Frame
Final
REQUEST FOR
INSPECTION
H) Mobilehome Park
ID# ^"
D
Dn
D
D
* ' Ready for Inspection --
Special Instructions -
Requested by
Phone number
as
Water Heater
Soil Line
Undergrnd Plbg
Undergrnd Water
Rough
Final
Mon ,
nnnnDnn
Pool Bonding
Pole
Pump
Underground
Ceil Heat
Rough
nal
Thurs ,
Person Taking Report
To
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DUPLICATE Signed z
Date Signed
Radifprm
4S 455
Poly Pok (50 sets) 4P465
SEND PARTS \ AND 3 WITH CARBONS INTACT
PART 3 WILL BE RETURNED WITH REPLY
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